The Regional Medical Manager II is a member of the Workers’ Compensation (WC) discipline and is responsible for the Medical Management programs and services for the WC Direct Handle department and Specialty Programs within the assigned territory.  The Regional Medical Manager II is responsible for developing and implementing strategics plans for managed care, cost containment and disability management programs and leads a team of nurses, including Regional Medical Managers, WC and Casualty Nurse Consultants, Telephonic Case Managers, and/or Medication Management Specialists.

KNOWLEDGE AND SKILLS:

1. Excellent written and verbal communication skills and leadership experience.


2. Strong analytical skills with the ability to manage multiple priorities and deadlines, work independently to manage programs with proficiency in developing and/or revising policies and procedures.


3. Strong relationship management skills.


4. Expertise in utilization review programs and treatment protocols for medical management of all casualty claims.


5. Experience and knowledge of Casualty case management both telephonic and field and the development/management of programs to address the medical aspects of these claims.


6. Catastrophic case management expertise and/or oversight.


7. General industry trends and knowledge of legislative activities related to the managed care industry.


8. Knowledge of medical resources available in the marketplace to include facilities and providers.

MAJOR DUTIES/RESPONSIBILITIES OF THE JOB:

1)        Provides strong medical program leadership as part of the North America (NA) claims leadership team. 

2)        Creates and manages ongoing education and training of Medical Management team, Claim Staff, Chubb Business Consultants and insureds on all aspects of medical case management and managed care.  Serves as a resource for the region on medical aspects of claims. 

3)         Maintains ongoing leadership and collaboration across the Medical Management leadership team regarding managed care programs for WC and/or Casualty claims. Assists with identifying cost drivers for medical expenses and establishing programs that will reduce costs associated with identified cost drivers.

4)         Evaluates staffing needs and collaborates with Senior Managers and co-leaders to recruit and hire talented candidates with growth potential and interest.  Optimizes productivity of medical case management staff and resource allocation among offices in the region.

5)         Improves operational efficiency by streamlining processes, managing vendor relationships, and leveraging technology.

6)         Establishes vendor guidelines and monitors adherence to standards.  Develops a measurement for overall effectiveness to determine cost benefit.

7)         Applies knowledge and expertise to create and implement new strategies to contain costs and/or in response to regulatory changes.

• Bachelor’s Degree required. Bachelor of Science, Nursing with a Masters in Occupational Health or a related field a plus.


• 8 – 10 years of managed care, case management experience and/or utilization review experience or related experience in the medical management or workers compensation claim management areas.


• Proven track record of strong leadership skills and successful development and implementation of strategic initiatives


• Sound negotiating, marketing and sales skills, analytical skills, and excellent communication skills

The pay range for the role is $117,000 to $189,000. The specific offer will depend on an applicant’s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program.  Chubb offers a comprehensive benefits package, more details on which can be found at https://careers.chubb.com/global/en/north-america.  The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.

Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran or marital status, or any other characteristic protected by law.