Mgr Medical Strategy

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, Sustainability initiatives and inclusive corporate culture.We are excited to announce an opportunity to join our nursing services team as a Manager Medical Strategy. This full time, exempt position offers the flexibility of working remotely while contributing to a high impact, growing team.Position Overview: Responsible for daily oversight and management of unit of in-house nurse consultants with potential multi-line responsibilities. Build and maintain a highly engaged workforce to achieve the key business strategies and results of the organization through effective consultation with front line claims management. Ensure that the unit is providing adjusters, managers, and/or attorneys with the appropriate level of expert medical strategy support through medical analysis using Evidenced Based Medical guidelines, medical-legal mitigation support on more complex claims and/or education. Demonstrate the knowledge and skills to deliver effective performance management, communication, relationship building, decision making, and customer service. Responsible for assessing the present and future resource needs for employees and provide the leadership, mentoring and guidance necessary to build and sustain a high performing workforce. Assists in coaching/mentoring, organizing tasks, leading projects, and measuring performance that extends beyond the direct unit.Responsibilities/Essential Functions:Direct day to day unit operations which include tracking measures, analyzing reports, and reinforcing goals.Accountable for monitoring and assessing employee performance through quality focused reviews, file reviews, ad hoc reports, and other methods. Provide feedback and coaching and take appropriate action.Solicit and act on internal customer feedback on escalated claims.Track and monitor customer surveys to ensure employees are providing exceptional service.Monitor and control expenses related to nursing activities.Manage according to established expectations, guiding principles, and jurisdictional requirements.Foster an environment that promotes continuous improvement initiatives and best practices which result in cost effective enhancements in quality and service.Supports effective utilization of nursing programs and vendor products. Ensure that the level of performance meets the expectations of the nursing function.Ensure vendor performance on claims is delivered according to established service level agreements; resolve issues and identified gaps.Oversee onboarding and training new hires.Support educational needs of the field in collaboration with Learning and Development on nursing products and services, medical knowledge, and clinical/evidence based medical guidelines, where appropriate.Work collaboratively with managers in various lines of business and legal support.Builds positive relationships with peers and leadership to accomplish organizational goalsIdentify key issues and communicate to the proper audience in an appropriate and timely manner.Act as an expert resource for direct reports, other teams, business units and claims leadership.May lead and/or participate in initiatives that support claims strategies and financial goals.Talent/Performance ManagementResponsible for monitoring volume and business plans, make timely staffing recommendations within established models and participate in identifying the ideal candidate.Responsible to identify and provide developmental opportunities through coaching, training and mentoring.Work with employees on performance management by setting cascading goals, giving and receiving feedback, documenting and delivering performance reviews, addressing performance issues, creating and implementing development plans while conforming to policies and other internal procedures.Responsible for salary administration recommendations that are directly linked to individual performance.Utilizes technology and talent management to increase efficiency and scalability to support corporate growth and service initiatives.Required Skills, Experience & CompetenciesRegistered Nurse (RN) with 5+ years of clinical experience in an acute or ambulatory healthcare settingDemonstrated strong leadership acumenAbility to lead teams of nurses to achieve success through quality outcomes, productivity, regulatory compliance, and continuous improvementAbility to provide technical medical guidance and direction related to claims and injury managementProven ability to execute new initiatives with measurable and sustainable outcomesEffective problem solving skills; anticipates issues, analyzes information collaboratively, and takes ownership through resolutionStrong customer focused mindset with proactive partnership across Lines of BusinessAbility to multi task and reprioritize in a fast paced environmentEffect