Physician Lead of Medical Leave of Absence

About the Role

Physician Lead of Medical Leave of Absence will provide oversight and direction to Disability and Clinical Case Managers. This role includes business continuity and crisis response data analytics and metrics.

Responsibilities

Serving as the Occupational Health Physician Lead for the Americas supporting the disability and leave management programs which includes clinical case management and strategic development of both disability and medical accommodations services.

Clinical case management

Providing clinical oversight and training a team of nurse and behavioral case managers administrators claim operations and wellness team.

Conducting disability claim file and peertopeer consults addressing claim dynamics.

Liaising and negotiating with treating providers to clarify and confirm medical necessity of disability and accommodation requests.

Negotiating with employees as needed to streamline return to work.

Consulting with team regarding obtaining and interpreting medical information submitted from treating providers and Independent Medical Evaluations.

Understanding Our Clients wellness resources and utilizing critical thinking skills to optimize all available resources to ensure optimal outcomes for all cases.

Collaborating with Our Clients Human Capital Management and Employment Law teams in managing employees medical leave of absence and accommodations.

Strategy development

Collaborating on the development of clinical content and claim management strategy as needed with operations management.

Leading case management strategy and participating in regular complex case discussions through regular scheduled complex case meetings.

Reviewing and collaborating on development and revision of standard operating procedures and protocols.

Independently interprets business data and can speak to opportunities and operational improvements.

Strong presentation skills including designing visuals such as PowerPoint.

Requirements

Active state or jurisdiction health care provider licensure.

Possesses Board Certification in Occupational Medicine or Internal Medicine/Family Practice

Minimum 5 years experience in reviewing disability claims across both medical and psychiatric conditions.

Maintains Applicable Certifications e.g. The American Board of Independent Examiners The American Academy of Disability Evaluating Physicians (AADEP)

Demonstrates empathy and compassion in interactions with customers as well as in coaching case managers.

Embraces customer service and communicates professionally in all written and verbal interactions.

Champions change management.

Leads initiatives to ensure best practices are implemented and adhered to.

Has a strong working knowledge of medical and behavioral health disorders.

Can quickly and seamlessly integrate into a very fast paced working environment. Independently networks and develops valuable interpersonal business relationships with all stakeholders.

Able to convey clinical opinion clearly and efficiently to nonclinical stake holders without hesitation.

Receptive to feedback.

Benefits

We offer programs and plans for a healthy mind body wallet and life because its important our benefits care for the whole person. Options include a variety of health coverage options wellbeing and support programs retirement vacation and sick leave maternity paternity & adoption leave continuing education and training as well as a number of voluntary benefit options.