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AmTrust Financial Services, Inc. · 1 day ago

Clinical Product Manager - Managed Care

Dallas, TX

Full-time

Onsite

Mid, Senior Level

$92K/yr - $120K/yr

5+ years exp

AmTrust Financial Services, Inc. is seeking a Clinical Product Manager to shape and optimize ancillary healthcare services in workers’ compensation. The role involves overseeing vendor management and operational execution to improve outcomes and reduce costs while collaborating with various stakeholders to ensure program integrity.

FinanceFinancial ServicesInsurance

Responsibilities

Lead vendor strategy from selection to onboarding, aligning partnerships with clinical and financial goals

Build strong relationships with both vendors and internal teams; serve as the go-to for performance, compliance, and problem-solving, while leading key objectives related to each ancillary service

Monitor and improve outcomes by developing and tracking key metrics, addressing gaps, while driving continuous improvement

Launch programs and pilots to assess ideas, streamline workflows, and enhance care delivery when appropriate

Keep operations running smoothly through clear processes, smart technology integration, and initiative driven issue resolution

Expert ability to work with data to drive outcomes, by developing reporting requirements in detail and ability to self-identify data needs

Lead deep-dive analyses of contracts, data, and business processes to identify risks, inefficiencies, and opportunities for improvement

Protect financial integrity and outcomes by identifying billing issues, optimizing processes, and ensuring cost-effective solutions for transactions and the claim as a whole

Champion/Audit compliance and quality- ensuring all services meet regulatory standards and clinical best practices across all states

Educate and communicate—train teams, share updates, and align stakeholders on priorities

Qualification

Healthcare AnalyticsVendor ManagementWorkflow OptimizationFinancial ModelingAdvanced ExcelSQLProcess ImprovementCommunicationCross-functional Collaboration