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Berkley AVP, Operations in Boston, Massachusetts

Berkley Medical Management Solutions provides a different kind of managed-care service for W.R. Berkley Companies. We believe that focusing on an injured worker’s successful and speedy return to work is good for people and good for our sister companies. Our services help the clients of W.R. Berkley Insurance Group better manage their worker’s compensation cases and return their employees to work faster with better outcomes.

The Assistant Vice President of Operations is responsible for achieving operational excellence. This involves creating a vision for such success, managing toward these organizational goals, and driving the conditions that create new capabilities. Taken together, these efforts must support organizational growth and significantly improve the company’s business, financial results, and customer experiences.

The AVP of Operations provides leadership and executive guidance on medical and administrative processes, on data analytics, and on policy and procedure enhancements. The ideal candidate will:

  • Demonstrate an impeccable model of leadership, managerial excellence, and integrity.

  • Act as a hands-on leader who can build a solid operational foundation, develop short- and long-term strategies that drive operational excellence, and show the ability to lead and execute on that vision.

  • Work collaboratively with the Chief Executive Officer and other senior leaders to attain profitable business performance by ensuring the optimization of day-to-day operations areas of the company

  • Manage medical bill review, clinical operations, network services, and healthcare informatics by coaching, mentoring, educating, and motivating toward achievement of BMMS’s strategic goals

  • Oversee data analytic projects and identifies areas for further advanced analytics, research work on provider outliers or areas of concern and also monitors for patterns of risk

  • Ensure customer satisfaction and positive customer experiences by overseeing the BMMS Data Analytics team in developing and executing monthly Key Performance measurements to identify improvement goals

  • Drive process changes across the enterprise to improve Key Performance metrics

  • Direct the Operations and Data Analytics teams to identify, generate, and collect other vital measurements and plans to maximize customer satisfaction, quality, and productivity/efficiency

  • Systematize, streamline, and implement best practices across BMMS to provide the visibility and metrics required to facilitate analysis of operations and ensure sustainable improvements in performance

  • Create and consistently communicate a clear, compelling vision for the integration and cross-functional operation of all BMMS teams

  • Direct all aspects of BMMS’s operations infrastructure and maintains responsibility for the attainment of short-term and long-term financial and operational goals for the enterprise

  • Prepare budget documents, projections, and productivity needs to ensure alignment of resource needs with budget levels

  • Ensure the selection, retention, and development of A-level players; provides continual leadership, oversight, coaching, and feedback to subordinates

  • Set performance goals with direct reports and monitors ongoing performance; lays out targets that are aggressive yet achievable; fosters and instills a culture of accountability, ownership, and execution

  • Build and sustain effective communications with all stakeholders, distribution partners, partner vendors, and cross-functional teams to maximize the customer experience and drive efficiencies

  • Identify and execute solutions for a variety of problems

  • Make decisions as needed to ensure efficient daily operations

  • Exhibit professional behavior at all times while representing or being identified as an employee of BMMS

  • Demonstrate the use of tact and discretion in all communications and provide a positive contribution to the morale of the department

  • Establish and maintain effective working relationships with unit staff, clients, providers, and other departments of BMMS

  • BS/BA business or related field or commensurate experience

  • Minimum 10 years in workers’ compensation/insurance; minimum 10 years management experience with progressively responsible roles; experience delivering world-class customer experiences

  • Demonstrated excellence in organizational management with ability to coach senior-level staff to manage and develop high-performing teams

  • Ability to develop and maintain relationships in order to motivate others to achieve goals and objectives

The Company is an equal employment opportunity employer.

COVID-19 vaccine required unless prohibited by law.

Job ID: 2021-6031

Name: Berkley Med Mgt Solutions

Street: 99 Summer Street

Industry:

Insurance

Seniority Level:

Executive

Job Functions:

Strategic PlanningManagement

Employment Type:

Full-Time

Additional Requirements: COVID-19 vaccine required unless prohibited by law.

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