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Regional Director of Managed Care
Territory –
Ohio
Great Company to Work For!
Must have Ob/Gyn and/or Genetic experience selling services and
Products!
Contact assigned payors to enhance, improve service and maintain
contracts for company products and services. Target assigned payors
with a focus on enhancing revenue by expanding new services and
increasing penetration within company customers. Position company as
a specialty maternal/newborn organization offering a continuum of
care in the maternity segment. Coordinate with available resources
in the development of Episode of Care, carve-in and carve-out
products and services, healthcare industry developments, health plan
risk contract models, and competitor's services to promote sales
opportunities.
Responsibilities
Interacts with all levels of personnel at targeted health plans
including case managers, contracting, medical directors, CMO, CEO,
CFO, COO, and VP of Heath Services and all C Level decision makers.
Defines and implements strategies to increase revenue and develops
plans utilizing available resources to effectively penetrate the
assigned payor customers.
Services and maintains assigned payor accounts and enhances business
relationships through ongoing interaction with key payor customers.
Provides proactive customer service, which includes facilitating
resolution of customer issues and fulfillment of customer requests.
Demonstrates proficiency in the development and implementation of
large group and individual presentations for targeted payor
customers that contribute to enhanced business revenue.
Participates in the implementation of approved business strategies
for presenting the company product portfolio to payor customers to
ultimately grow revenue through price increases, full service
contracts, therapy amendments, DM and CM product lines.
Provides or coordinates clinical support during the sales process to
enhance payor awareness and increase utilization of company products
and services.
Negotiates contracts with payor customers for company products and
services and achieve revenue growth, product implementation, and
scope of service expansion in line with company strategic
objectives.
Coordinates new and/or existing client
implementation/reimplementation of services to ensure a smooth and
timely program launch.
Works closely with corporate contracting and legal to develop,
negotiate, and execute contracts in a timely manner with terms that
match companies strategic objectives.
Participates in the development/production of targeted pull through
initiatives through coordination of company resources including
sales, marketing, pharmacy, operations, and medical affairs
resulting in increase payor revenue.
Demonstrates a highly interactive customer relations approach
utilizing face to face contacts to build relationships and achieve
desired results.
Actively utilizes reporting and tracking tools to demonstrate payor
penetration activities and provides to Vice President of Managed
Care.
Position is often required to independently develop strategies and
prioritize sales/revenue objectives.
Position Requires
Position requires frequent travel that may require overnight stays.
Travel demands will be determined by the assigned territory and
assigned number of customers.
At all times, the incumbent must be aware of and adhere to all
federal and state laws and regulations in performing the duties of
this position. The incumbent must be aware of and adhere to the laws
and regulations addressing relationships with patients, suppliers
and referral sources. The incumbent must be familiar with and adhere
to companies "Code of Conduct" and its Compliance Policies and
Procedures.
Education
Bachelor’s degree or equivalent in healthcare, business, or a
related field
Experience
Three to five years commercial executive account sales experience in
a managed care environment. Must have a track record of demonstrated
sales achievements and success calling on health plans.
Maternal/newborn specialty or home healthcare experience highly
desirable.
Knowledge of and experience with the payor marketplace contracting
and product trends is required.
Communication Skills
Excellent interpersonal and communications skills and the ability to
obtain and foster positive relationships with customers.
Salary
$95k to $110k Base
$50k in Commission
$600.00 Car Allowance
All gas paid separately
All Perks and Benefits
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