Craig J. Ross, Do Email and Phone Number
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.
Wcri
View- Website:
- wcrinet.org
- Employees:
- 34
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Technical ReviewerWcri Feb 2024 - PresentProviding technical feedback on draft reports of research studies in the worker's compensation space. -
Medical DirectorTriagenow Jan 2024 - PresentProviding oversight for evaluation and treatment algorithms used in telephonic nurse triage of workers compensation injuries. -
PrincipalCjr Consulting Group, Llc Dec 2023 - PresentProviding evidence-based and patient-centric management solutions in the property and casualty line of business.
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Research CommitteeWcri Mar 2019 - Nov 2023Participated on a team providing technical feedback on research studies in the worker's compensation space, as well as brainstorming new areas of research. -
Regional Medical DirectorLiberty Mutual Jun 2003 - Nov 2023Bala-Cynwyd, Pennsylvania, United StatesPerformed 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. -
Medical DirectorIndependence Blue Cross 2002 - 2003 -
Medical DirectorAetna, A Cvs Health Company Jan 1998 - Apr 2002 -
Corporate Medical DirectorCarpenter Technology 1994 - 1997
Craig J. Ross, Do Education Details
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Doctor Of Osteopathic Medicine -
Biology, General
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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