| Vacancy location | United States, California, San Francisco |
| Short description | The Medical Director serves as the highest-level source of medical expertise, direction, and advice within the Company, specifically regarding utilization review, medical networks, pharmaceutical management, medical bill review, medical training, and specific claims/medical issues. |
| Long description | Oak River Insurance Company, a division of Berkshire Hathaway Homestate Companies (BHHC), is one of six regional insurance carriers. All BHHC insurance companies have earned an A++ Rating from A.M. Best and a Standard & Poor's Rating of AAA.At Oak River Insurance Company, we strive to be the premier insurance carrier in our market by providing compassionate care to injured workers, superior service to our policyholders and producer clients, and outstanding career opportunities for our employees, while consistently delivering industry-leading returns to our shareholders.We are always on the lookout for talent and appreciate your interest in our positions. Come grow with us!
Advise senior management on initiatives, programs, policies, and standards relating to claims medical management. Initiate the development of innovative programs and policies to provide the best possible medical care to injured workers, control medical costs, and prevent medical fraud. Maintain comprehensive and current expertise regarding the diagnosis and treatment of work injuries, medical issues relating to workers compensation, and medical cost management. Analyze industry data and Company data and performance to identify opportunities for improvement and develop initiatives to meet those opportunities. Serve as the Medical Director of the Companys utilization review program with responsibility for the decisions and recommendations of that program, including the peer review component of that program. Ensure that appropriate medical providers are selected and retained by the Companys medical networks for the treatment of injured workers. Provide medical direction for the Companys pharmaceutical management program. Provide medical direction for the Companys medical bill review program. Prepare and present medical training for Company staff. Provide medical information and advice to Company staff on claims/medical issues, including claims adjusters, case managers, attorneys, lien representatives, and members of the special investigations unit.
MD or equivalent. Background in Occupational Medicine preferred but not required. *The Company is an Equal Opportunity Employer. The Company is committed to workforce diversity. Qualified applicants will receive consideration without regard to age, race, color, religion, sex, sexual orientation, disability, or national origin. Applicants encouraged to confidentially self-identify when applying. Employment contingent upon successful completion of background investigation. Drug-free work environment. All resumes are held in confidence.* **Resumes from Recruiters or Agencies will not be accepted without an advance contract** |
