Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker’s successful and speedy return to work is good for people and good for Berkley’s insurance operating units. BMMS was first started in 2014 by reimagining the relationship between medical need and technology as a way to deliver the best outcome for injured workers and Berkley’s operating units. Our goal was clear: combine solid clinical practices, proven return-to-work strategies and robust software into one system for seamless management of workers’ compensation cases.

 

To get it right, we started with a flexible technology platform that allowed for impressive customization without sacrificing the ability for expansion and continued innovation. We deploy integrated systems to give W.R. Berkley Companies recommendations and professional services for managing each individual case in an efficient and appropriate manner. The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional services ensures we provide Berkley’s operating units with reliable results, and reduced time and expenses associated with case management.

At Berkley Medical Management Solutions (BMMS), we thrive when our people thrive. To put our products and solutions into the hands of consumers worldwide, we need a professional who knows how to connect and build alliances internally and externally. As the Director, Strategy & Business Engagement, you will be a leading force that fuels our growing client relationships in our North American market. The ideal person will have proven experience building on existing relationships, and hands-on experience in a claim’s organization, managing program issue resolutions. You will ensure customer satisfaction across Berkley’s insurance operating units. You’ll be a proactive and curious member of our growing team, identifying and resolving issues for operating units before they identify a need or gap for themselves. Maintains open communication with management to help identify potential opportunities on topics that affect our business. This level of foresight and meticulous analysis is what will take our company confidently into the future.

 

To be a successful Director, Strategy & Business Engagement, you’ll need to navigate the needs of clients methodically, taking extreme ownership to resolve issues while constantly aligning to maintain managed care savings opportunities. You will represent BMMS and its products to partner companies and vendors knowledgeably and effectively, enabling BMMS to clearly identify the benefits of its products relative to its competitors. It is also important to have a high level of intellectual curiosity to identify gaps and growth potential where others miss them.

 

Account Management

• Building and maintaining relationships with existing clients to ensure long-term satisfaction and retention.
• Collaborating with internal teams to identify areas where technology solutions can help address client needs and improve operational efficiency.
• Serves as the key managed care liaison for operating unit claims leadership.
• Act as a liaison between clients and internal teams to ensure the smooth delivery of products and services.
• Partners with senior leadership team in developing the strategy of how BMMS evolves its team structure, engages with the operating units, and delivers value.
• Providing excellent customer service and support to clients, including responding to inquiries and resolving any issues or concerns.
• Monitoring client accounts to track usage patterns, identify potential issues, and proactively address any problems that may arise.
• Developing and implementing strategies to increase the adoption of technology solutions among clients
• Creating and delivering training and education programs to help clients get the most out of their technology solutions
• Staying up-to-date on industry trends and best practices to inform business decisions and identify opportunities for growth
• Establish, build and maintain strong relationships with key stakeholders and partners within each operating unit by understanding their business focus and needs, and anticipating them in advance.
• Support and solve problems for operating units by understanding and exceeding their expectations.
• Provide leadership, direction, coaching and feedback for the network management team.
• Ability to diplomatically set expectations with operating units and manage differing priorities.
• Coordinate internal and external resources to expedite workflow.
• Deliver and manage communication between senior management and staff members.
• Stay current with company offerings and industry trends.
• Oversee and achieve organizational goals while upholding best practices.
• Illustrate the value of products and services to create growth opportunities.
• Continuously strives to improve our products and services through innovation.
• Compile and analyze data to identify trends.
• Complete industry research and assist with program development for existing clients and new prospects.
• Perform prospecting activities such as networking.
• Maintain a contact database of operating units, prospects, partners, and vendor.

Network Management and Growth

• Responsibilities include recruitment, retention, and management for a preferred provider network for BMMS in the Workers' Compensation space. In addition, they will work closely with the executive team to develop and execute recruitment strategies that meet network goals, including increasing the number and diversity of participating providers, improving quality metrics, and maximizing cost savings.
• Developing and executing recruitment strategies to attract new providers to the network, including identifying target markets, developing marketing materials, and building relationships with key stakeholders.
• Managing the recruitment process from initial outreach to contract negotiation, including conducting interviews, negotiating terms, and ensuring the timely execution of contracts.
• Building and maintaining strong relationships with existing providers to improve retention rates and ensure high satisfaction levels.
• Overseeing the development and execution of training and educational programs for providers to ensure compliance with network standards, optimize clinical outcomes, and improve cost efficiencies.
• Serving as the primary point of contact for providers and managing any issues that arise, including facilitating dispute resolution and coordinating with other departments as needed

• 7+ years of experience as a claims professional. Knowledge of the medical bill review process and supervisory experience is a plus.
• Ability and comfort working both independently and collaboratively.
• Ability to understand client needs and balance their needs with company priorities.
• Ability to manage multiple accounts.
• High degree of self-motivation, discipline, productivity, and professionalism.
• Sound analytical, problem-solving, decision-making, and critical-thinking skills with an outcome-based focus.
• Ability to work effectively across an organization, understanding customer needs and finding mutually-beneficial solutions.
• Gifted relationship-builder with a strong sense of ownership and a desire to deliver solutions to your team and customers in a fast-paced environment.
• Collaborative team player with keen attention to detail, you’re focused on contributing to the overall success of a team.
• Quick learner and have a strong desire to learn new skills. When faced with obstacles you are calm under pressure and proactively seek the best resolutions for your team and business. 
• Self-motivated, able to multi-task, and can quickly and efficiently respond to client and team needs in a solution-focused way. Your innovative spirit helps us to drive our business forward.
• Proficiency in Microsoft Office and CRM software, with an aptitude to learn systems.
• Ability to travel as needed to meet with clients and prospects.

Education 

• Bachelor’s degree in business or a related discipline

berkleymms.com

The Company is an equal employment opportunity employer.

We do not accept any unsolicited resumes from external recruiting firms.

The company offers a competitive compensation plan and robust benefits package for full time regular employees.
Base salary & Benefits include Health, dental, vision, life, disability, wellness, paid time off, 401(k) and profit-sharing plans.

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Travel Requirements
• Domestic U.S. travel is required (up to 30% of time)

Sponsorship not Offered for this Role