Vice President, Medical Director

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Zenith Insurance Company (United States)

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1951

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

Zenith Insurance Company (United States) is a commercial property and casualty insurer that provides workers' compensation, property, liability and auto insurance products and related claims services to businesses. The company offers agent and broker support, online tools for policyholders (claims reporting, premium payment, and provider/pharmacy information), risk management resources, and emphasizes service, fraud reporting, and vendor diversity.

📋 Description

• Serve as a medical authority on occupational injuries and workers' compensation medical management • Establish and maintain evidence-based clinical guidance for treatment, recovery expectations, return-to-work planning, and disability duration management • Provide medical oversight and consultation on complex, severe, catastrophic, occupational disease, and fatality claims • Review treatment plans, surgical recommendations, impairment ratings, causation questions, and medical necessity determinations • Support resolution of disputed medical issues and provide expert clinical opinions • Attend claims staffings, roundtables, and large loss reviews • Partner with claims leadership to develop medical management strategies for high-severity losses • Evaluate long-term care projections, life care plans, Medicare Set-Asides, and future medical exposure estimates • Develop clinical programs to improve recovery outcomes and reduce disability durations • Promote early intervention and safe, sustainable return-to-work outcomes • Analyze medical trends and treatment patterns to improve outcomes and manage medical costs • Recommend emerging treatment protocols, pharmaceuticals, medical technologies, and healthcare delivery models • Collaborate with utilization review, claims management, network management, and bill review partners • Evaluate provider performance and treatment outcomes • Support development of occupational health, specialty physician, and catastrophic injury provider networks • Consult on provider identification, recruitment, contracting, credentialing, and monitoring • Serve as senior sponsor for strategic medical vendor relationships • Lead and develop members of the Medical Management team • Mentor claims and operational leaders on medical trends, catastrophic injury management, and clinical best practices

🎯 Requirements

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) required • Board Certification in Occupational Medicine strongly preferred • Additional certification in Physical Medicine & Rehabilitation, Emergency Medicine, Orthopedic Surgery, Neurology, Trauma Surgery, or related specialty considered advantageous • Minimum 10 years of clinical experience • At least 7 years focused on occupational injuries and workers' compensation • Significant experience managing catastrophic injuries and complex disability cases • Demonstrated leadership experience within an insurance carrier, managed care organization, healthcare system, TPA, or large self-insured employer • Deep expertise in workers' compensation medical management, catastrophic injury treatment protocols, disability management, return-to-work strategies, impairment ratings, and life care planning • Ability to translate complex medical information into actionable business recommendations • Exceptional communication, influencing, analytical, and executive presentation skills • Ability to define problems, collect data, and draw valid conclusions • Ability to read, analyze, and interpret technical data, financial reports, and legal documents • Ability to communicate effectively with providers, members of the business community, clinical staff, and regulatory agencies

🏖️ Benefits

• Medical, Dental and Vision Insurance • Flexible Spending Accounts • Paid Parental Leave • Life, AD&D and Disability Insurance • 401(k) • Employee Share Purchase Plan (ESPP) • Education and Training Reimbursement • 10 paid Company Holidays • 2 Personal Days • 2 Floating Holidays • Employee Assistance Program (EAP) • Hybrid work schedule or remote work option • Ongoing learning and development • Career advancement opportunities • Comprehensive benefits package