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Clinical Program Manager

Clinical Program Manager

SedgwickSan Diego, CA, US
1 day ago
Job type
  • Full-time
Job description

Clinical Program Manager

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

PRIMARY PURPOSE : The ideal candidate would have a workers comp background in claims and / or managed care. Preferred experience in : client services, clinical operations, and or workers comp claims.

To determine account management strategies related to client service plans; to be responsible for retention of existing clients, customer satisfaction, revenue growth, client surveys, and new business. Understanding our specialty clinical offerings and creating programs to maximize deliverables.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

  • Provides data and analytics to client services; identifying and educating clients on issues and trends impacting programs.
  • Reviews and identifies areas of potential dissatisfaction and creates solutions.
  • Creating and implementing new clinical programs.
  • Negotiates changes or improvements to service plan.
  • Facilitates the reduction of process barriers, technology constraints, or resource constraints by directing and influencing the activities of other internal departments such as information technology, operations and business development.
  • Coordinates client invoicing, audits and accounts receivable follow up for assigned clients.
  • Resolves all major customer service issues.
  • Identifies and solicits cross-selling opportunities.
  • Ensures compliance with all applicable Quality initiatives.

ADDITIONAL FUNCTIONS AND RESPONSIBILITIES

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travel as required.

    • SUPERVISORY RESPONSIBILITIES

  • Provides support, guidance, leadership and motivation to promote maximum performance.
  • Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
  • Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.

    • QUALIFICATIONS

    Education & Licensing

    Bachelor's degree from an accredited college or university preferred. CPCU, AIC and / or ARM or other related designation preferred.

    Experience

    Ten (10) years related experience or equivalent combination of education and experience required to include two (2) years account manager experience or five (5) years adjuster experience including two (2) years in a supervisory capacity.

    Skills & Knowledge

  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Excellent interpersonal skills
  • Excellent negotiation and facilitation skills
  • Leadership / management / motivational skills
  • Ability to work in a team environment
  • Excellent account rounding ability
  • Strong understanding of workers compensation, liability and disability claims management
  • In-depth knowledge of client servicing
  • Ability to handle conflict and confront challenging issues in a fast work environment
  • Ability to meet or exceed Performance Competencies

    • Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

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    Clinical Program Manager • San Diego, CA, US