VP & Medical Director

Company: Prudential Financial, Inc
Location: Santa Rosa
Posted on: September 12, 2020

Job Description:

About the position For more than 140 years, Prudential Financial has provided individual and institutional customers with financial opportunities. A financial services leader with more than $1 trillion of assets under management as of June 30, 2018, Prudential has operations in the United States, Asia, Europe and Latin America. We provide customers with a variety of financial products and services, including disability and absence insurance, life insurance, annuities, retirement-related services, mutual funds and investment management.

How we conduct our business is just as important as what we do. Our core values are the principles that guide us daily in helping our customers achieve financial prosperity and peace of mind. At all times, we strive to distinguish Prudential as an admired multinational financial services leader and trusted brand that is differentiated by top talent and innovative solutions for all stages of life.

This is an exciting opportunity to be a part of Prudential’s Group Insurance organization, which sits within our broader Workplace Solutions organization. In this role you will join a team of medical professionals helping claims staff and clinicians review complex medical claims to determine functional capacity and support business success.

The Role

As a VP & Medical Director based in Roseland, NJ, Scottsdale, AZ, Portland, ME or virtual (with appropriate experience), you will:

Provide leadership and insight to clinicians as well as the claims organization

Partner with claims & clinical professionals to conduct claim discussions on complex short- and long-term disability claims

Perform comprehensive file reviews, assessing risk, determining capacity to work, limitations and restrictions

Outreach to treating providers, as needed

Summarize claim review findings in a comprehensive, written report

Ensure the confidentiality of personal health information by following legal and departmental requirements

Provide subject matter expertise to all areas within Group Insurance, as needed

Participate in project work streams based on business needs

Partner with external peer review vendors, as needed for quality discussions

Plan, organize and implement educational initiatives and support to clinicians, claims professionals and leadership

Offering the opportunity to work remotely or, if nearby, from a Prudential Group Insurance location.

Qualifications What you’ll need to succeed:

Licensed MD, DO, PsyD orPhD in the state in which you live

Board certification inat least one of the following: Psychiatry, Psychology, Neuropsychology, OccMed, Neurology or PM&R

At least 5 years ofactive clinical experience, excluding residency

Ability to workindependently in a fast-paced work environment and set day to day workpriorities

Comfortable working in amatrix environment with a focus on teamwork in a corporate setting

Excellent verbal andwritten communication

Exceptional leadershipskills

Proficiency in Microsoftsuite and ease of learning new technology

It’d be a plus if you have:

Aptitude in reviewingdisability claims to determine impairment, restrictions, limitations

Familiarity withworkplace accommodations

Comfortable with doctorto doctor calls

Ability to travel, as needed,based on business needs ( Prudential is a multinational financial services leader with operations in the United States, Asia, Europe, and Latin America. Leveraging its heritage of life insurance and asset management expertise, Prudential is focused on helping individual and institutional customers grow and protect their wealth. The company's well-known Rock symbol is an icon of strength, stability, expertise and innovation that has stood the test of time. Prudential's businesses offer a variety of products and services, including life insurance, annuities, retirement-related services, mutual funds, asset management, and real estate services.

We recognize that our strength and success are directly linked to the quality and skills of our diverse associates. We are proud to be a place where talented people who want to make a difference can grow as professionals, leaders, and as individuals. Visit www.prudential.com to learn more about our values, our history and our brand.

Prudential is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, genetics, disability, age, veteran status, or any other characteristic protected by law.

Note that this posting is intended for individual applicants. Search firms or agencies should email Staffing at staffingagencies@prudential.com for more information about doing business with Prudential.

Team Lead, LTD Claims Claims - BL00033--NJ-Virtual Office, NJ | Scottsdale, AZ | Roseland, NJ | Portland (ME), ME

Full Time Position - Job No: DMS000CL View Job Description

The views expressed by each employee is based on his or her personal experiences and opinions. An individual’s own abilities, dedication, and achievements will have a direct impact on his or her success at Prudential, potential for professional growth, and opportunities for other careers at Prudential and its affiliates.

Prudential is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, genetics, disability, age, veteran status, or any other characteristic protected by law. The Prudential Insurance Company of America, Newark, NJ and its affiliates.

Prudential Financial, its affiliates, and their financial professionals do not render tax or legal advice. Please consult with your tax and legal advisors regarding your personal circumstances.

Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom.

Pruco Life Insurance Company, an Arizona company - California COA # 3637. The Prudential Insurance Company of America - California COA # 1179. Prudential Retirement Insurance and Annuity Company - California COA # 08003

Securities and Insurance Products:

Not Insured by FDIC or any Federal Government Agency | May Lose Value | Not a Deposit of or Guaranteed by the Bank or any Bank Affiliate

Keywords: Prudential Financial, Inc, Santa Rosa , VP & Medical Director, Other , Santa Rosa, California