Assistant Vice President

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

PRIMARY PURPOSE: To provide strategic recommendations and implement changes necessary to ensure quality service and client satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple business lines; and to provide expertise in client specific case management and utilization review requirements and ensure customer satisfaction through the provision of these services.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Manages overall clinical operations for more than 3 assigned teams/offices; develops and implements clinical objectives and initiatives.
• Ensures quality training of new and existing colleagues.
• Works with TCM trainers and Sedgwick University to assess the unit training needs and to develop and deliver training.
• Works with Clinical Operation Management regarding overall program strategy; works collaboratively to implement program changes.
• Identifies challenges and creates solution for recruitment, hiring, staffing, process management and training needs; plans for staffing needs, including succession, bench-strength and new business; and supervises, coordinates and reviews the work of assigned staff.
• Assists in establishing policy and procedures to assure compliance to best practices, clinical management services standards, state regulations, and client service requirements.
• Identifies potential new product opportunities, processes and protocols; participates in presentations to clients, prospects and colleagues.
• Assists with implementation of new business plan with goals and objectives for assigned locations/offices; provides expert medical and product support to Sedgwick claims and clinical staff.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned. 
• Supports the organization's quality program(s).
• Travels as required.

SUPERVISORY RESPONSIBILITIES

• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
• Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
• Provides support, guidance, leadership and motivation to promote maximum performance.

QUALIFICATIONS

Education & Licensing
Current unrestricted RN license in a state or territory of the United States required. Certification in case management required. Bachelor's degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred.

Experience
Ten (10) years of related experience or equivalent combination of education and experience required to include five (5) years medical case management, two (2) years clinical experience, two (2) years providing direct clinical care to the consumer and three (3) years supervisory experience.

Skills & Knowledge

• Knowledge of multiple business line medical case management environments
• Knowledge of resources available regarding the regulations and parameters of third party reimbursement
• Knowledge of statutory requirements of state's jurisdiction as appropriate to job
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $120,000-$130,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.