Craig J. Ross, Do

Craig J. Ross, Do Email and Phone Number

Medical Director | Physician Consultant in the Property and Casualty Business with a Focus on Workers' Compensation @ WCRI
cambridge, massachusetts, united states
Craig J. Ross, Do's Location
Greater Philadelphia, United States
About Craig J. Ross, Do

I'm a Medical Director with extensive experience including workers compensation, health, and disability insurance medical management. My clinical background is as a Board Certified Family Physician by training, with on-site experience in occupational medicine. Proven outcomes include:• Recognized nationally at Liberty Mutual winning a Best Work Award (Q1 2023) for collaborating with an attending physician to achieve a superior clinical outcome for a paraplegic injured worker.• Achieved $1.5 million Medicare Set Aside (MSA) mitigation in collaboration with treating physician.• As part of the Connecticut Workers’ Compensation Commission's Medical Advisory Panel, co-authored Medical Protocols for the 7/1/12 revision of Cervical, Lumbar, and Opioid treatment guidelines.Specific areas of expertise: Clinical Leadership, Medical Strategy, Guideline Development, Evidence Based Medicine, Medical Training, Utilization Management Oversight, Pharmacy Management, Disability Management, Network Management, Causation Analysis, Regulatory and Jurisdictional Compliance, and Quality Improvement.If you're looking for a proven Medical Director or Physician Consultant in the Property and Casualty business, please contact me at cjr114@verizon.net.

Craig J. Ross, Do's Current Company Details
WCRI

Wcri

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Medical Director | Physician Consultant in the Property and Casualty Business with a Focus on Workers' Compensation
cambridge, massachusetts, united states
Website:
wcrinet.org
Employees:
34
Craig J. Ross, Do Work Experience Details
  • Wcri
    Technical Reviewer
    Wcri Feb 2024 - Present
    Providing technical feedback on draft reports of research studies in the worker's compensation space.
  • Triagenow
    Medical Director
    Triagenow Jan 2024 - Present
    Providing oversight for evaluation and treatment algorithms used in telephonic nurse triage of workers compensation injuries.
  • Cjr Consulting Group, Llc
    Principal
    Cjr Consulting Group, Llc Dec 2023 - Present
    Providing evidence-based and patient-centric management solutions in the property and casualty line of business.
  • Wcri
    Research Committee
    Wcri Mar 2019 - Nov 2023
    Participated on a team providing technical feedback on research studies in the worker's compensation space, as well as brainstorming new areas of research.
  • Liberty Mutual
    Regional Medical Director
    Liberty Mutual Jun 2003 - Nov 2023
    Bala-Cynwyd, Pennsylvania, United States
    Performed workers compensation, general liability, and automobile personal injury claims review. Provided on-site and remote medical leadership to multiple claims offices managing all US WC jurisdictions. Developed medical knowledge infrastructure for web-enabled intranet resources. Provided staff education with formal presentations and individual mentoring. Performed quality assurance review of vendor services. Presented for sales and marketing efforts.• Co-developed RMD medical management model, personally completing more than 1800 insured and TPA workers compensation claims interventions annually, resulting in improved clinical claims outcomes.• Authored or revised more than 50 evidence-based Guidelines and Protocols.• Provided national clinical oversight for UM Department and Vendor Services, including Peer Review Organization and Medical Management Product vendor evaluations, achieving multiple URAC recertifications.• Addressed emerging medical issues, workplace exposures and emergency response situations, serving as the clinical point of contact for the risk managers of several large regionally based National Insurance customers.• Served as Team Subject Matter Expert for pharmacy programs, medical marijuana (co-authoring national white paper), and COVID-19.• Appointed memberships: o Maryland Workers' Compensation Commission Medical Fee Guide Committee. o Connecticut Workers' Compensation Commission Medical Advisory Panel. o Workers Compensation Research Institute (WCRI) Research Committee.
  • Independence Blue Cross
    Medical Director
    Independence Blue Cross 2002 - 2003
  • Aetna, A Cvs Health Company
    Medical Director
    Aetna, A Cvs Health Company Jan 1998 - Apr 2002
  • Carpenter Technology
    Corporate Medical Director
    Carpenter Technology 1994 - 1997

Craig J. Ross, Do Education Details

Frequently Asked Questions about Craig J. Ross, Do

What company does Craig J. Ross, Do work for?

Craig J. Ross, Do works for Wcri

What is Craig J. Ross, Do's role at the current company?

Craig J. Ross, Do's current role is Medical Director | Physician Consultant in the Property and Casualty Business with a Focus on Workers' Compensation.

What schools did Craig J. Ross, Do attend?

Craig J. Ross, Do attended Philadelphia College Of Osteopathic Medicine, University Of Virginia, Washington George High School.

Who are Craig J. Ross, Do's colleagues?

Craig J. Ross, Do's colleagues are Jordan Camm, Dongchun Wang, Sebastian Negrusa, Mostafa Sallam, Ramona Tanabe, Bryan Giblin, Karen Rothkin.

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