29 days old

Vice President, Medical Director - DIS000BY

Prudential
Roseland, NJ 07068
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  • Job Code
    579399
Primary Location United States-New Jersey-Roseland
Job:Full-time
Travel:Yes, 25 % of the Time
Description
!*!



For more than 140 years, Prudential Financial has provided individual and institutional customers with financial opportunities. A financial services leader with more than $1 trillion of assets under management as of June 30, 2018, Prudential has operations in the United States, Asia, Europe and Latin America. We provide customers with a variety of financial products and services, including disability and absence insurance, life insurance, annuities, retirement-related services, mutual funds and investment management.

How we conduct our business is just as important as what we do. Our core values are the principles that guide us daily in helping our customers achieve financial prosperity and peace of mind. At all times, we strive to distinguish Prudential as an admired multinational financial services leader and trusted brand that is differentiated by top talent and innovative solutions for all stages of life.

This is an exciting opportunity to be a part of Prudentials Group Insurance organization, which sits within our broader Workplace Solutions organization. In this role you will join a team of medical professionals helping claims staff and clinicians review complex medical claims to determine functional capacity and support business success.


As a VP & Medical Director based in Roseland, NJ, Scottsdale, AZ, Portland, ME or virtual (with appropriate experience), you will:


  • Provide leadership and insight to clinicians as well as the claims organization

  • Partner with claims & clinical professionals to conduct claim discussions on complex short- and long-term disability claims

  • Perform comprehensive file reviews, assessing risk, determining capacity to work, limitations and restrictions

  • Outreach to treating providers, as needed

  • Summarize claim review findings in a comprehensive, written report

  • Ensure the confidentiality of personal health information by following legal and departmental requirements  

  • Provide subject matter expertise to all areas within Group Insurance, as needed

  • Participate in project work streams based on business needs  

  • Partner with external peer review vendors, as needed for quality discussions

  • Plan, organize and implement educational initiatives and support to clinicians, claims professionals and leadership





Qualifications
@!*!
  • Licensed MD or DO in the state in which you live  

  • Board certification in at least one of the following: Neurology, Occupational Medicine,  Physical Medicine, Rehabilitation, Rheumatology, Internal Medicine, Family Medicine or Emergency Medicine.

  • At least 5 years of active clinical experience, excluding residency 

  • Ability to work independently in a fast-paced work environment and set day to day work priorities 

  • Comfortable working in a matrix environment with a focus on teamwork in a corporate setting

  • Excellent verbal and written communication

  • Exceptional leadership skills 

  • Proficiency in Microsoft suite and ease of learning new technology

 

Additional desired expertise:

  • Aptitude in reviewing disability claims to determine impairment, restrictions, limitations

  • Familiarity with workplace accommodations

  • Comfortable with doctor to doctor calls

  • Ability to travel, as needed, based on business needs (<25%)




@!*!Prudential is a multinational financial services leader with operations in the United States Asia Europe and Latin America. Leveraging its heritage of life insurance and asset management expertise Prudential is focused on helping individual and institutional customers grow and protect their wealth. The companys well-known Rock symbol is an icon of strength stability expertise and innovation that has stood the test of time. Prudential's businesses offer a variety of products and services including life insurance annuities retirement-related services mutual funds asset management and real estate services. For more information please visit www.prudential.com.

Prudential is not accepting unsolicited resumes from search firms for this open position unless contracted with Staffing. Agencies must work with Staffing as the primary point of contact and follow the Prudential application process to be considered for business. All resumes submitted by search firms to any employee at Prudential via-email Internet or directly to hiring managers in any form without a valid written search agreement in place for that position will be deemed the sole property of Prudential and no fee will be paid in the event the candidate is hired by Prudential.
Note: Any search agreement entered into with Prudential before January 2004 is null and void. Search firms are essential to the recruitment and staffing efforts at Prudential and we value the partnerships we have built with our preferred vendors. Prudential has established and regularly maintains a preferred vendor list and even preferred vendors need to have a written search agreement signed by the Director Recruiting Programs Staffing at Prudential in place for the specific position in order for a fee to be paid for any candidate referrals.
Job Posting:@false

Posted: 2020-03-06 Expires: 2020-04-12

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Vice President, Medical Director - DIS000BY

Prudential
Roseland, NJ 07068

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