Salary : $208,704.00 - $280,752.00 Annually
Location : Multiple Locations Statewide, WA
Job Type: Full Time - Permanent
Remote Employment: Flexible/Hybrid
Job Number:
Department: Dept. of Labor & Industries
Division: Insurance Services - Office of the Medical Director
Opening Date: 06/22/2026
Closing Date: 7/13/2026 11:59 PM Pacific
Salary Information: The high end of the salary range, Step M is typically a longevity step

Description
Within Insurance Services, the Office of the Medical Director (OMD) is responsible for L&I's statewide health policy to ensure that injured and ill workers have access to high quality, evidence-based care and that services paid for by the workers compensation Medical Aid Fund are clinically appropriate and cost effective.
This position will provide clinical input that contributes to a wide range of goals and activities - from rendering clinical advice on individual complex claims to developing, interpreting, and applying health policies such as medical treatment guidelines; providing professionally accredited continuing medical education seminars; and participating in public-private collaborations to address statewide, systemic health issues such as variability in delivery, utilization, and cost of services.
Duties
Some of what you'll do:

• Provide clinical expertise and direct claims support to improve and promote the quality of care received by injured and ill workers.
• Receive and respond to referrals by conducting claim reviews, team conferences, and staffing, including direct communication with claims managers, Occupational Nursing Consultants (ONC), injured workers, medical providers, and attorneys.
• Provide clinical consultation and recommendations to strategically resolve complex cases, including convening and collaborating with multiple parties on treatment plans and, when appropriate depending on compelling clinical evidence, recommending alternatives to medical treatment guidelines, OMD coverage decisions, agency policy, and HTCC coverage determinations.
• Provide clinical expertise and leadership for health policy analysis and development, and program implementation. Address claims that are leading to increased time loss and poor health outcomes in the workers' compensation population.
• Collaborate on development of evidence-based policies and guidelines.
• Coordinate and consult on the formulation and implementation of health care law, rules, policies.
• Provide clinical leadership and assistance to collaborative efforts with WA state agencies, and other public and private health organizations.
• And much more!

Qualifications
Required:

• Valid State of Washington Medical License.
• Board certification in a relevant medical specialty, including but not limited to common Workers' Compensation disorders, e.g. Occupational Medicine, Internal Medicine, Rehabilitation Medicine, or Orthopedic Medicine.
• Five (5) years' practice experience post-residency.
• Three (3) years of experience in health care leadership, e.g. institutional, professional society, state or county medical society.
• Excellent verbal and written communication skills, especially with professional colleagues; skilled in developing respectful, trusting collaborative relationships, and actively resolving conflict.

AND

• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.

Desired:

• Master's degree in Public Health or related public health field such as epidemiology, health administration, or health services research.
• Juris Doctor degree

Supplemental Information
Things You Need To Know

To help you maintain a proper work-life balance, teleworking is one of the work schedule options for this position. L&I also offers flexible custom work schedules.

State employees who meet the qualifications will become eligible for a generous retirement package at the end of the employee's career. Click on the "Benefits" tab to learn more.

Telework is dependent upon business needs and supervisor approval. For positions where in-office work is necessary, the frequency of telework will be discussed with the supervisor of the position at the time of offer.

The assigned duty station for this position is currently Tumwater, Washington.

To receive more information on opportunities at L&I sign up for GovDelivery and select L&I job alerts.

Application process

We will contact the top candidates directly to interview for this position. Because we base the selection on information provided by you, it is in your best interest to identify the knowledge, skills, and abilities that address the required and desirable qualifications described in the announcement.

Please include the following documents with your application:

1. A describing specific qualifications.
2. A current detailing applicable experience and education.
3. A list of at least three professional references with current telephone numbers.

Please do not attach or place any medical information (vaccination status included) within the application, resume, or cover letter. If you do, we will have to reject your application to safeguard others from receiving your confidential information. You will have to remove the confidential information before you can apply again.

To learn more about our hiring process timeline at L&I please visit our L&I recruiting page at If you would like to read our website in a language other than English, scroll up to the top of the page to select your language of choice from the banner.

Other information

• For positions requiring travel, you must have a valid unrestricted driver's license and have insurance if driving a privately owned vehicle on state business.
• This position is represented bytheWashington Federation of State Employees (WFSE).
• Candidates who are offered a job with L&I must possess work authorization that does not require sponsorship by the employer for a visa now or in the future.
• Please note: L&I may use this announcement to fill multiple permanent and/or non-permanent positions.

Did You Know?

Washington is to live, play, and work, according to U.S. News (2021). Join the L&I team and enjoy all the Evergreen State has to offer.

In addition to offering a positive balance between life and work, L&I provides one of the most competitive benefits packages in the nation. We also believe your voice matters. We value our employees and their work-life balance by encouraging flexible schedules.

More than Just a Paycheck!
Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket. Washington State offers one of the most competitive benefits packages in the nation.

We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. That's why choice is a key component of our benefits package. We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.

Read about our benefits:
The following information describes typical benefits available for full-time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full-time work (e.g. part-time); view the job posting for benefits details for job types other than full-time.

Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.

Insurance Benefits
Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.

Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses. Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.

To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website. The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.

Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.

Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.

The Washington State Employee Assistance Program promotes the health and well-being of employees.

Retirement and Deferred Compensation
State Employees are members of the Washington Public Employees' Retirement System (PERS). New employees have the option of two employer contributed retirement programs. For additional information, check out the Department of Retirement Systems' web site.

Employees also have the ability to participate in the Deferred Compensation Program (DCP). This is a supplemental retirement savings program (similar to an IRA) that allows you control over the amount of pre-tax salary dollars you defer as well as the flexibility to choose between multiple investment options.

Social Security
All state employees are covered by the federal Social Security and Medicare systems. The state and the employee pay an equal amount into the system.

Public Service Loan Forgiveness
If you are employed by a government or not-for-profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.

Holidays