AmTrust Financial Services, Inc. · 1 day ago
AVP Managed Care and Clinical
US-FL-Maitland
Full-time
Hybrid
Senior Level, Lead/Staff
10+ years expAmTrust Financial Services, Inc. is a leading provider of workers' compensation insurance. The Assistant Vice President (AVP) of Managed Care and Clinical will lead strategic initiatives in cost containment and quality care, working alongside senior leaders to improve provider networks and leverage technology solutions.
FinanceFinancial ServicesInsurance
Responsibilities
Support Head of Managed Care and Clinical in leading the development and execution of the strategic plan to include identification of cost containment opportunities
Serve as the business lead in the development and ongoing improvement of provider networks, product development, vendor partnerships, and cost strategy including workflows, process and key controls
Contribute as a thought leader to identify new and innovative approaches in the use of technology, automation and new partnerships for improved loss outcomes and customer experience
Work cross functionally in the design, implementation, and production of management reporting, KPIs, dashboards and analysis for optimal outcomes and identification of improvement opportunities
Review and analyzes activities, costs, and operations to determine progress toward stated goals and objectives
Ensure optimal use of resources
Complete and present as needed executive level presentations, working cross functionally in support of required detail
Monitor departmental compliance with changing regulatory requirements at Federal and State level and ensure that all indicators meet or exceed requirements
Additional responsibilities as needed to assist and support Head of Managed Care and Clinical
Qualification
Required
Strong analytical skills, use of data, modeling tools, medical cost containment solutions and products, as well as in-depth knowledge of trends impacting the Workers Compensation industry are required
Demonstrated leadership to interact collaboratively and work effectively with a multi-functional team and throughout the organization; fosters an environment of shared responsibility and accountability
10+ years in a senior leadership role responsible for Managed Care and Clinical in support of workers' compensation claims or related field
Minimum 7-10 years of experience developing and fully operationalizing medical management programs with an emphasis on pharmacy and ancillary services. Experience in training, clinical applications, and clinical operations in workers' compensation
Experience and demonstrated results to drive data-driven decision making, action plans, and executing key initiatives
Ability to formulate business plans, operating budgets, and business cases in support of investments inclusive of benefit quantification and ROI
Ability to interact collaboratively and work effectively with a multi-functional team and throughout the organization; fosters an environment of shared responsibility and accountability
Experience with leading company-wide initiatives, including ability to bridge across divisions and between Support Center and field teams
Proven ability to manage organizational change, to involve and influence others to accept new ideas or innovative approaches, to lead in a team-based organization
Experience applying medical management treatment guidelines, such as InterQual / McKesson, Milliman, or other practical management guidelines
Experience with writing and implementing program level policy and procedures
Ability to develop reports, metrics, and improvement plans
Excellent verbal and written communication skills
Advanced analytical skills
Ability to prepare presentation documents and present to senior leadership
Advanced skills in Excel and PowerPoint
Ability to manage a diverse team, including clinical professionals, in multiple locations
Strong organizational skills
Masters of Business Administration (MBA) required
Prior leadership experience
Willingness to work extended hours when occasions demand
Ability to travel up to 25% of the time
Preferred
Clinical degree (RN, PharmD), in addition to MBA, preferred
Ability to read and write SQL preferred
Benefits
Medical & Dental Plans
Life Insurance, including eligible spouses & children
Health Care Flexible Spending
Dependent Care
401k Savings Plans
Paid Time Off
Company
AmTrust Financial Services, Inc.
AmTrust Financial Services, Inc., through its subsidiaries, operates as a multinational property and casualty insurance company.
5001-10000 employees
H1B Sponsorship
AmTrust Financial Services, Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2023 (3)
2022 (5)
Funding
Current Stage
Public CompanyTotal Funding
unknown2006-11-13IPO
Leadership Team
D
Daniel Pacicco
Executive Vice President, Chief Financial Officer
Carl Canales
Executive Vice President - North American Field Operations
Recent News
2025-11-07
2025-11-05
Company data provided by crunchbase