Note: The job is a remote job and is open to candidates in USA. AmTrust Financial Services, Inc. is seeking a Clinical Product Manager to optimize ancillary healthcare services in workers' compensation. The role involves overseeing vendor management, ensuring compliance, and driving improvements in operational processes to enhance outcomes for injured workers and stakeholders.
Responsibilities
- Lead vendor strategy from selection to onboarding, aligning partnerships with clinical and financial goals
- Build strong relationships with both vendors and internal teams; serve as the go-to for performance, compliance, and problem-solving, while leading key objectives related to each ancillary service
- Monitor and improve outcomes by developing and tracking key metrics, addressing gaps, while driving continuous improvement
- Launch programs and pilots to assess ideas, streamline workflows, and enhance care delivery when appropriate
- Keep operations running smoothly through clear processes, smart technology integration, and initiative driven issue resolution
- Expert ability to work with data to drive outcomes, by developing reporting requirements in detail and ability to self-identify data needs
- Lead deep-dive analyses of contracts, data, and business processes to identify risks, inefficiencies, and opportunities for improvement
- Protect financial integrity and outcomes by identifying billing issues, optimizing processes, and ensuring cost-effective solutions for transactions and the claim as a whole
- Champion/Audit compliance and quality- ensuring all services meet regulatory standards and clinical best practices across all states
- Educate and communicate—train teams, share updates, and align stakeholders on priorities
Skills
- Bachelor's in Healthcare, Business, Analytics, or related field
- 5+ years in healthcare analytics or clinical operations
- 2+ years in Workers Compensation and associated ancillary services
- Proven vendor management and workflow optimization experience
- Proficiency with contracts, financial modeling, and business case development
- Advanced Excel and analytical skills
- Strong PowerPoint skills; Visio a plus
- Excellent communication, both with AmTrust leadership and external parties
- Master's degree or advanced learning degree
- Familiarity with SQL /or advanced reporting and manipulation
- Experience with multi-disciplinary healthcare vendors in the Workers' Compensation line of business
- Knowledge of workers' comp regulations, billing codes, and audit processes
- Experience in vendor management of healthcare services
Benefits
- Medical & Dental Plans
- Life Insurance, including eligible spouses & children
- Health Care Flexible Spending
- Dependent Care
- 401k Savings Plans
- Paid Time Off
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