Director Clinical

2 weeks ago

South Portland, ME, United States OneAmerica Full time

At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together. Come be a part of this journey with us as we champion lives

The Director, Clinical & Vocational Services is responsible for strategic and tactical leadership of the Clinical and Vocational (CV) services who support Employee Benefits (EB) claims. This role manages the performance of clinical care and vocational rehabilitation managers and programs ensuring quality, effectiveness, efficiency and service delivery. The Director collaborates with claims leadership as well as internal/external business partners to achieve business objectives and impact business results.

What you will do:

Performance & Service Expectations

  • Monitor performance metrics/results and work with the cross functional teams to address opportunities and drive improvements.
  • Collaborate with claims leaders to ensure policy and process is clear & consistent, including identification of gaps and continuous improvement opportunities.
  • Support and execute claims management initiatives that positively impact business results and align with organizational objectives.
Operational Excellence/Continuous Improvement
  • Drive continuous improvement with CV teams and collaborate with claims leadership to identify areas of best practice, improvement, quality & training.
  • Perform quality review of CV assessments; provide coaching for associates.
  • Foster a client-centered culture that values recovery and productive reintegration through supportive engagement with and for our clients.
  • Support leadership with day-to-day vendor process or claim specific needs.
  • Participate in customer and sales meetings as needed.
Associate Engagement and Development
  • Manage staffing as well as development needs within the team.
  • Mentor and develop team members using a supportive and collaborative approach. Identify outcomes, accountabilities, and priorities, and then monitor and evaluate results.
  • Contribute to OneAmerica's relationship strategy by using empathy in decision-making to put our customers, partners and stakeholders first, and to create unique experiences based on mutual trust and human connection.
What you will need:
  • Four-year college degree or an equivalent combination of related work experience and education
    • High School Diploma Required
  • 5 years proven leadership skills. Working knowledge of Microsoft Word and Outlook required
  • Recommend Certifications
    • ICA (Insurance Claims Associate)
    • HIA (Health Insurance Associate)
    • LOMA
    • FLMI (Fellow Life Management Institute)
    • CEBS (Certified Employee Benefit Specialist) or other associated certifications (e.g. CRCC)


Salary Band: 7A

#LI-SH1

This selected candidate will be expected to work hybrid/on-site/fully remote in Indianapolis, IN or Portland, ME. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team-building and collaboration.

If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York.

Disclaimer: OneAmerica Financial is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual’s race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.

For all positions:

Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered.

To learn more about our products, services, and the companies of OneAmerica Financial, visit oneamerica.com/companies.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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