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Prudential Ins Co of America Vice President & Medical Director - Group Insurance in Roseland, New Jersey
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 Prudentials 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.
As a VP & Medical Director, 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
What youll need to succeed:
Licensed MD, DO, PsyD or PhD in the state in which you live
Board certification in at least one of the following: Psychiatry, Psychology, Neuropsychology, OccMed, Neurology or PM&R
At least 5 years of active clinical experience, excluding residency
Ability to work independently in a fast-paced work environment and set day to day work priorities
Comfortable working in a matrix environment with a focus on teamwork in a corporate setting
Excellent verbal and written communication
Exceptional leadership skills
Proficiency in Microsoft suite and ease of learning new technology
Itd be a plus if you have:
Aptitude in reviewing disability claims to determine impairment, restrictions, limitations
Familiarity with workplace accommodations
Comfortable with doctor to doctor calls
Ability to travel, as needed, based on business needs (25%)
Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom.
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, national origin, ancestry, sex, sexual orientation, gender identity, national origin, genetics, disability, marital status, age, veteran status, domestic partner status , medical condition or any other characteristic protected by law.
The Prudential Insurance Company of America, Newark, NJ and its affiliates.
Note that this posting is intended for individual applicants. Search firms or agencies should email Staffing at
for more information about doing business with Prudential.
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Equal Opportunity Employer-minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity