Vice President, Workers' Compensation Claims Consulting

Genex Services, LLC; Northern (KY); Hybrid; USD 190,000 - 225,000; Full time

Job summary

Enlyte is seeking a Vice President of Workers' Compensation Claims Consulting to lead strategic client advisory and consulting engagements, driving improvements in claim outcomes, operational efficiency, and financial results. This remote role requires strong industry expertise, data analytics, and leadership across cross‑functional teams.

The position emphasizes return‑to‑work strategies, governance, and delivering measurable program value for senior clients.

Qualifications

• Education: Bachelor's in Operations Research, Risk Management, Insurance, Healthcare Administration, Business Analytics, or related field.
• 15+ years of workers' compensation or related consulting and leadership experience.
• Remote work with ~30% travel; strong strategic advisory and leadership skills.

Responsibilities

• Serve as a trusted advisor to senior executives at carriers, TPAs, and self‑insured employers, guiding improvements in claim outcomes and financial performance.
• Lead consulting engagements from assessment through implementation, delivering measurable, sustainable improvements.
• Develop executive‑level recommendations aligning claims operations, medical management, and return‑to‑work strategies with client objectives.
• Collaborate with cross‑functional teams to deliver integrated client solutions and ensure actionable recommendations.

Skills

Leadership

Strategic Planning

Analytics

Stakeholder Management

Education

Bachelor's in Operations Research

MBA preferred

Job description

Company Overview

At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.

Be part of a team that makes a real difference.

Job Description

The Vice President of Workers' Compensation Claims Consulting is a strategic leader responsible for partnering with clients to improve claims performance, operational effectiveness, and financial outcomes across workers' compensation programs. This role leverages deep industry expertise, advanced data analytics, and the full breadth of company resources to identify opportunities, develop actionable recommendations, and lead consulting engagements that drive measurable results. Working closely with clients, internal subject matter experts, and cross-functional teams, the Vice President evaluates claims data, operational workflows, and program performance to uncover trends, optimize processes, reduce costs, improve return-to-work outcomes, and enhance overall claim management effectiveness. The position serves as a trusted advisor to executive stakeholders, translating complex insights into practical strategies and leading initiatives that deliver sustainable improvements in claim outcomes, customer satisfaction, and program value.

Key Responsibilities

Strategic Client Advisory & Consulting Leadership

• Serve as a trusted advisor to senior executives at workers' compensation carriers, TPAs, and self‑insured employers, providing strategic guidance to improve claim outcomes, operational performance, and financial results.
• Lead consulting engagements from assessment through implementation, helping clients identify opportunities and execute initiatives that deliver measurable and sustainable improvements.
• Develop and present executive‑level recommendations that align claims operations, medical management, return‑to‑work strategies, and organizational objectives.
• Facilitate discussions with client leadership teams to establish priorities, define success metrics, and drive continuous improvement efforts.

Claims Performance & Operational Excellence

• Assess claims operations, workflows, staffing models, and performance metrics to identify opportunities for increased efficiency, consistency, and effectiveness.
• Evaluate workers' compensation program performance and recommend operational, clinical, and process improvements that reduce claim costs and duration while improving outcomes.
• Partner with clients to enhance return‑to‑work strategies, claims handling practices, vendor management, and overall program governance.
• Support organizational change initiatives and help clients implement best practices that improve long‑term program performance.

Cross‑Functional Collaboration & Resource Integration

• Collaborate with internal clinical, regulatory, analytics, product, and operational experts to deliver comprehensive client solutions.
• Leverage the full range of company capabilities, resources, and subject matter expertise to address complex client challenges.
• Coordinate multidisciplinary teams to ensure consulting recommendations are actionable, aligned, and successfully executed.
• Foster strong partnerships across internal departments to provide an integrated and consistent client experience.

Program Assessment & Performance Analytics

• Analyze claims data, operational metrics, and industry benchmarks to identify trends, risks, and opportunities for improvement.
• Translate analytical findings into practical business recommendations that can be implemented by claims and operational leadership.
• Utilize internal and external benchmarks to evaluate program performance and support strategic decision‑making.
• Measure and communicate the impact of implemented initiatives through meaningful performance indicators and business outcomes.

Thought Leadership & Industry Expertise

• Maintain deep expertise in workers' compensation claims management, industry trends, regulatory developments, and emerging best practices.
• Provide thought leadership to clients and internal stakeholders on evolving claims management strategies and operational innovations.
• Contribute to the development of consulting methodologies, tools, and service offerings that enhance client value and market differentiation.

Qualifications

• Education: Bachelor's in Operations Research, Risk Management, Insurance, Healthcare Administration, Business Analytics, related field or equivalent experience. MBA or industry certification that reinforces candidate's abilities in process reengineering, workers' compensation expertise, or analytics preferred.
• Experience: 15+ years of experience, including workers' compensation consulting, managed care consulting, process reengineering, or payer/carrier leadership, with a track record of managing in a remote and matrixed environment.
• Strategic Vision: Proven ability to interpret internal benchmarks against external industry trends and market dynamics to predict future workers' compensation claims and operational challenges.
• Operational Mastery: Claims operations expertise and deep understanding of the interplay between regulatory constraints, medical management strategies, return‑to‑work objectives, and technical data analysis using BI.
• Leadership: Exceptional ability to foster collaboration across siloed departments (Compliance, Marketing, Clinical, and Analytics) to deliver a unified client solution.
• Travel: This is a remote position and can be located anywhere in the US. This requires ~30% travel, thus the ideal candidate will have convenient access to a major US airport.

Benefits

We're committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $190,000 - $225,000 annually plus bonus and equity opportunities. Compensation is based on a number of factors including skills, experience, and education.

The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Don't meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.