Sedgwick

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Clinical Liaison

at Sedgwick

Posted: 10/5/2019
Job Status: Full Time
Job Reference #: J3S78C5Z7SNN7VB4MHH
Keywords: medical

Job Description

 

Clinical Liaison

 

IF YOU CARE, THERE'S A PLACE FOR YOU HERE

For a career path that is both challenging and rewarding, join Sedgwick's talented team of 21,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets -- their employees, their customers and their property. At Sedgwick, caring counts®. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.

For nearly 50 years, Sedgwick has been helping employers answer virtually every question there is about workers' compensation. We have experience in nearly every type of industry, in every region, providing the broadest range of programs and services.

PRIMARY PURPOSE: 

To educate Sedgwick clinical and claims colleagues on the service delivery of our clinical programs; to break down barriers of communication identified in the process. 

ESSENTIAL FUNCTIONS and RESPONSIBILITIES 

  • Reviews trends in clinical products for training opportunities.
  • Identifies opportunities for training, gaps in understanding, and develops training tools as necessary.
  • Provides the necessary training and coaching to ensure improved program results.
  • Measures colleague performance post-training and provides feedback to team leads.
  • Works with individual clinical and claims colleagues to achieve optimal client program results.
  • Maintains working knowledge of the clinical pharmacy programs and how they work enterprise-wide.
  • Conducts workshops (in person and web-based) to review the opportunities for program improvements with claims team and clinical.
  • Runs reports and analyzes data to ensure optimal client results.
  • Develops training and mentoring schedule of events based on needs analysis.
  • May oversee internship program. 

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

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

QUALIFICATIONS 

Education & Licensing 

Bachelor's degree from accredited college or registered nurse (RN) license with workers' compensation claims experience preferred. 

Experience 

Six (6) years of claim or clinical case management experience or equivalent combination of education and experience required. Knowledge of pharmacy benefit programs and common pharmacy issues, along with training or sales experience, preferred. 

Skills & Knowledge 

  • Ability to develop training needs assessment and develop training as indicated by the assessment
  • Ability to create and deliver engaging presentations
  • Ability to analyze reports and identify trends
  • Ability to collaborate with claims and clinical colleagues/teams
  • Knowledge of claims compliance
  • Strong oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies 

WORK ENVIRONMENT 

When applicable and appropriate, consideration will be given to reasonable accommodations. 

Mental: 

Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines 

Physical: 

Computer keyboarding, travel as required 

Auditory/Visual: 

Hearing, vision and talking 

NOTE:

Credit security clearance, confirmed via a background credit check, is required for this position.  

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer

and a

Drug-Free Workplace

Sedgwick Claims Management Services, Inc.is the leader in innovative claims and productivity management solutions to major employers. We provide cost-effective claims administration, managed care, program management and related services through the expertise of over 10,000 in 190+ offices and service locations. We are the largest, most innovative Third Party Administrator in the claims industry and the first and only TPA to receive recognition both as the “Best TPA in America” and “Employer of Choice.”

Sedgwick unique positioning allows you to “Claim Your Future.” We provide satisfying, challenging work along with a highly professional, friendly work atmosphere. We strive to make Sedgwick a place where great people can do great things for our clients. We express this commitment through our colleague development program, multi-dimensional learning resources, and commitment to work-life balance. Sedgwick offers exceptional benefits, including:

  • Competitive compensation
  • Comprehensive benefits (day one health benefits, STD, LTD, Life, 401(k) plus match, EAP, generous vacation and PTO)
  • Flexible work schedules

If you desire a company where you can positively influence lives while maximizing your own career possibilities, Sedgwick is the place for you. Join our Talent Network to explore opportunities.

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