Director, Medical Case Management (Western Zone)

AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Director of Managed Care and Clinical, for our Western Zone.

• →Knowledge of pharmaceuticals used to treat pain 
• →Knowledge of behavioral health 
• →Knowledge of pain management process 
• →Knowledge of drug rehabilitation process 
• →Knowledge of workers' compensation laws and regulations 
• →Excellent oral and written communication,
• →Ability to prepare presentation documents and present to senior leadership
• →Advanced computer skills to include Microsoft Products
• →Proven ability to manage organizational change, to involve and influence others to accept new ideas or innovative approaches, to lead in a team based organization
• →Ability to manage a diverse team including clinical professionals in multiple locations
• →Ability to develop reports, metrics and improvement plans
• →Ability to interact collaboratively and work effectively with a multi-functional team and throughout the organization; fosters an environment of shared responsibility and accountability
• →Experience applying medical management treatment guidelines
• →Experience with writing and implementing program level policy and procedures
• →Analytic and interpretive skills 
• →Strong organizational skills 
• →Excellent interpersonal skills 
• →Excellent negotiation skills 
• →Ability to work in a team environment 
• →Ability to meet or exceed Performance Competencies 
• →Experience with State and external accreditation managed care audits and reviews
• →Prior experience developing and leading nurse case management, medical director and clinical teams
• →Demonstrated results in developing strategic plans and executing key initiatives
• →Ability to collaborate across functional lines and leaders
• →Strong communication and analytical skills