Back to positions

Risk Management Medical Director/Insurance

Remote role Full-time Open position

Salary: $160 - 200 per hour Reference: 505767 Top Healthcare company is hiring a Physician to work as a Medical director for Life and health Risk selection, Claims management and Product development. Remote position The schedule for this role will be Per diem/part-time: 10-15 hours/week but it could be less or more depending on volume, time off for other team members, etc. Position Summary: The Medical Director provides expert medical knowledge for life and health risk selection, claims management, and product development. This includes research and develop medical impairment guidelines, develop training programs for underwriters and claims examiners, and assist in insurance mortality knowledge. Responsibilities include but are not limited to:

  • Identify medical information relevant for claims and underwriting reviews, provide advanced medical knowledge and training for underwriters and claims examiners using novel scalable formats
  • Establishes medical underwriting guidelines appropriate to the organization's products and risk appetite
  • Provides expert medical risk consultation on underwriting by demonstrating ability to translate medical advances and various data sources into updated and enhanced guidelines, and provide thought leadership for best medical decisions
  • Keep current with general medical literature, develop subject matter expertise, advanced proficiency in evaluation quality and insurance relevance of research studies
  • Identify relevant medical topics, medical advances and emerging risks, provide concise relevant updates for stakeholders, thought leadership on strategic direction
  • Further develop business acumen, provide medical expertise to novel ways of doing business, contribute to risk mitigation strategies, lead fair risk assessment initiatives
  • Be a visible leader in the insurance medicine community and build on DBIM with industry thought leadership
  • Oversee, mentor and develop a team of medical professionals

Qualifications:

  • MD or DO from an accredited medical school with 5+ years clinical experience in Internal Medicine or Family Medicine
  • Current and comprehensive knowledge of medical literature
  • Effective written and oral communication both with formal and informal groups

Preferred Qualifications:

  • MD (or DO) with active US medical license
  • 5+ years' experience in insurance medicine
  • Board of insurance medicine certification (DBIM)
  • Recognized as an expert or leader in the life insurance industry or medical community due to publications, presentations, or involvement in industry or medical organizations

Work Schedule: Part time | Flexible During M-F 8-4pm - flex on hours and days. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected]. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility). This posting is open for thirty (30) days. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Apply tot his job Apply To this Job

Further positions

Manager, Loss Prevention

Remote role Full-time

[Remote] Systems Analyst - Health Plans & Payer

Remote role Full-time

Senior Investment Analyst (Hedge Funds, Private Credit, and Public Markets)

Remote role Full-time

Remote Senior Systems Analyst

Remote role Full-time

Principal, Hedge Funds & Analytics Technology

Remote role Full-time

Associate Manager, Hedge Fund Accounting (East Coast Region)

Remote role Full-time

Sr Specialist, Provider Engagement - Quality​/HEDIS; Remote in FL

Remote role Full-time

Experienced Clinical Quality HEDIS Nurse - Remote - Part of Optum's Clinician-Led Care Organization

Remote role Full-time

Director, Global Pricing

Remote role Full-time

Senior DevOps, Kafka Engineer

Remote role Full-time

Entry-Level Remote Pharmacy Data Entry & Patien...

Remote role Full-time

Experienced Remote Product Manager II – Renewable Energy and Solar PV Systems Development Leader

Remote role Full-time

Card Product Specialist - Treasury Management

Remote role Full-time

Remote Live Chat Agent Jobs At Amazon

Remote role Full-time

[Remote] Inside Partner Account Manager

Remote role Full-time

Pharmacy Prior Authorization Senior Representative - Freedom Fertility, Remote, AZ United States Work at Home

Remote role Full-time

Bilingual Customer Service Representative – Dallas, TX – Dynamic Client Support Role at arenaflex

Remote role Full-time

Remote Data Entry Clerk - Basic Typing Online Job-

Remote role Full-time

Manager, Solutions Marketing

Remote role Full-time

Oncology Specialist - Texas

Remote role Full-time