Corporate Vice President, Medical Director - Physical Medicine & Rehabilitation

New York Life•New York, NY

13h•Remote

About The Position

The Medical Director – Medical Management Role is a clinical professional who as part of a team of specialty medical directors, provides expert medical analysis of complex disability claim files in oral and written format. The Medical Director will collaborate with a multidisciplinary team of Medical Directors, Nurses, Behavioral Health Specialists, and Vocational Coaches in supporting our Claims Team in better understanding our customers, their clinical conditions, functional limitations, residual capacity, and disability. The successful medical director demonstrates clinical expertise in their specialty, has in depth understanding of functional impairment and activity ability, is able to quickly develop rapport with non-clinical and clinical colleagues including the customer’s treating provider, and effectively formulates and communicates a summary analysis of clinical information.

Requirements

Current and Active Unrestricted Licensure in a US State required
Current Board Certification in area of clinical expertise (ABMS/AOA, ABPP, ABSNP)
A minimum of 5 years clinical experience/direct patient care beyond residency or fellowship with strong clinical background
Exhibit ethical and professional behavior
Excellent oral and written communication skills.
Demonstrate excellent organizational skills, strong and effective teamwork, negotiation, conflict management, decision making and problem solving skills
Computer competency: word processing, spreadsheet, email and personal information management programs are used extensively and competency in them must be possessed or rapidly acquired; must be able to perform research on Internet resources.
Demonstrate a highly developed understanding of the benefits of return to activity and remaining in the workforce
Successful ability to assess complex issues, to determine and implement their solutions, and to resolve problems.
Success in carrying out and maintaining cooperative, successful relations with diverse internal and external stakeholders.
Demonstrate sensitivity to culturally diverse situations, participants and customers.
Demonstrate the ability to be effective in large, complex, highly matrixed organization with a changing business environment

Nice To Haves

Certification and/or Experience in Pain Management or Neuromuscular Medicine is a Plus
Experience in private/public sector disability programs/insurance or other corporate environment highly preferred – analytic skills appropriate to private insurance environment highly preferred. Service, marketing, sales, and business experience a plus.

Responsibilities

Support Group Benefit Solutions business initiatives with Integrity, Objectivity and Customer focused Urgency
Consistently and efficiently review disability claims files and provide high quality written analysis of complex disability claim files which are consistent with company and industry standards
Perform outreach calls and/or written communication with the customer’s attending healthcare provider which facilitate development of an understanding of the customer’s conditions, function, recovery/ongoing care and which appropriately promotes safe return to activity for the customer
As a Medical Resource and Leader: Promote, facilitate, and contribute in a meaningful way during collaborative discussions of Disability Claim files with internal business partners
Regularly participate in multidisciplinary claim directional discussions
Participate in developing and conducting training curricula for medical directors, nurses and nonclinical team members
Participate in Special Projects and initiatives