The Hartford Chief Medical Officer in HARTFORD, Connecticut
Title: Chief Medical Officer
Location: United States-Connecticut-Hartford
Job Number: 1701290
The Hartford’s Chief Medical Officer is a senior leadership role accountable for setting medical strategy and policy and providing oversight for medical components of the Claims organization. The Chief Medical Officer will be responsible for driving optimal claim outcomes through medical innovation, guidance and training, leading-edge tools and programs, and the provision of clear and consistent medical “Best Practices.”
This is a national leadership role, requiring a global view of current medial practice issues and a clear understanding of the impact the greater medical marketplace has on Claims. While focusing heavily on opportunities related to workers’ compensation and disability management, the Chief Medical Officer will be responsible for medical strategy and policy across all lines of business.
Key accountabilities for this position include working closely with business leadership teams throughout Claims and the Enterprise to identify medical trends and develop responsive strategy and policy through our programs and management of medical activities.
- Develop strategic direction and guidance in relation to medical and disability management programs in Workers’ Compensation, Group Benefits, Auto Managed Care, and other casualty lines of business
- Represent The Hartford in medical professional and trade organizations, regulatory committees or commissions, and customer presentations
- Develop formal clinical guidelines for managed care and medical bill review operations
- Develop highly effective pharmacy benefit management programs and protocols
- Lead the selection, education and on-going quality evaluation of medical-related network providers
- Provide clinical guidance on review and selection of medical support tools
- Oversee effective execution of utilization and impairment rating review programs
- Serve as physician advisor and maintain peer review oversight
- Provide clinical oversight and training for field clinical staff
- Develop and oversee training and on-going medical education for Claims staff
- Foster relationships with medical directors of contracted networks and healthcare leadership organizations to assure delivery of high quality medical services
- Engage in highly complex medical and functional clinical evaluations and interactions with Claims staff and external physicians
- Ensure policies are consistent with standards required by URAC and other accrediting organizations
- Ensure organizational understanding of and adherence to applicable medical and disability management laws and regulations
- Develop and effectively communicate a clear vision and strategy for all things medical
- Provide effective leadership in ethical decision making and affirmative inquiry
- Demonstrate an ability to communicate effectively at all levels of the organization
- Create and support an environment that fully embraces diversity and inclusion at all levels
- Support a learning environment that acknowledges failure and/or lack of knowledge and allows for risk taking to learn and move the organization forward
- Lead by example and manage through influence by effective relationships
- Aggressively pursue continuous learning for self and staff
- Board Certification in a medical specialty required, preferably Occupational/Preventive Medicine, Internal Medicine, Family Medicine, Orthopedics, Physical Medicine & Rehabilitation, or Emergency Medicine
- Current active license to practice medicine (MD or DO) in the U.S.
- Advanced degree beyond MD or DO (i.e., MPH) is preferred but not required
- Minimum of five (5) years of active clinical medicine practice
- Experience with utilization reviews and case management
- Proven credibility in the medical community
- Knowledge of medical vendors and offerings
- History of participation of regional or national specialty society activities, ideally at a leadership level
- Superior strategic thinking skills and desire to address and resolve complex business problems
- Strong presence and level of self-confidence that builds trust and credibility with an audience
- Excellent written, oral, and presentation skills
- Ability to create an open environment conducive to freely sharing information and ideas
- Experience managing, developing and training professional staff Willingness to appropriately challenge the status quo
- Deliver Outcomes - Demonstrate a bias for speed and execution that serves our shareholders and customers.
- Operate as a Team Player - Work together to drive solutions for the good of The Hartford.
- Build Strong Partnerships – Demonstrate integrity and build trust with others.
- Strive for Excellence - Motivate yourself and others to achieve high standards and continuously improve.
The Hartford is an equal employment and affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy status or any other characteristic protected by law. The Hartford maintains a drug-free workplace and is committed to building inclusion and leveraging diversity.
Job: P&C Claim Management