Medical Director
| Company | American Financial Group |
|---|---|
| Location | Lakeland, FL, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | MD |
| Experience Level | Senior |
Requirements
- Board certified, licensed, practicing physician (MD or DO)
- 5 or more years of clinical practice experience
- Experience with workplace issues, short- and long-term disability, and workers compensation
- Expertise with occupational and orthopedic illness/injuries
Responsibilities
- Review medical treatment plans for complex claims referred by the managed care team
- Discuss claims management with treating physicians
- Advise internal nurse case managers on appropriate actions
- Respond to questions submitted by managed care
- Review external clinical guidelines and update internal guidelines and policies
- Ensure medical accuracy and quality by reviewing samples of peer reviews and independent medical exams
- Provide oversight/review of clinical content for internal training programs
- Facilitate and participate in new hire and ongoing training of clinical personnel (MDs, RNs)
- Explore and disseminate significant updates/changes in internal medical policies to claims managers and the managed care team
- Evaluate decision support tools such as treatment guidelines and protocols to support Claims
- Participate in and provide medical advice to internal steering committees and task forces
- Serve as a medical resource for Legal, Loss Prevention, and Business Development
- May have responsibility for performance and coaching of staff
- Perform other duties as assigned
Preferred Qualifications
-
No preferred qualifications provided.