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Director Consumer Sales

Infinity Insurance Company is a leader in bringing specialized automobile insurance programs to the marketplace. We deliver innova...

Posted 2 weeks ago

Infinity Insurance Company is a leader in bringing specialized automobile insurance programs to the marketplace. We deliver innovative products and services that are designed to meet the diverse and evolving insurance needs of consumers. When we named our company "Infinity" we knew it was a bold title. Infinity means without end. For more than 50 years, Infinity has done justice to its name, searching for every possible way to offer the best service. The key to our ongoing success is excellence. We strive for excellence in every detail, from our policy offerings and insurance products to our hiring and training programs. We don't take excellence for granted. All of our hard work has paid off. We consistently outperform the industry by making auto insurance more accessible, easier to understand and affordable. ABOUT THIS POSITION Lead multi-line insurance agency sales and service operations to achieve aggressive YOY growth through Written Premium, Retention, and other revenue generation efforts. Responsible for the overall efficiency, effectiveness, and compliance of the agency. This includes planning, reporting, goal setting and management, process optimization, training, program implementation, compensation design and administration, and recruiting and selection of talent in both sales and service funnels. SPECIFIC ACTIVITIES: * 1. Directs operations of multi-site sales call centers including achieving key metrics, developing and allocating staff, managing incentive plans, maintaining compliance with all rules and regulations. * 2. Monitors, develops, and reports on departmental measures such as employee performance and customer insights. 3. Coordinates sales activities with Product and Advertising. * 4. Aligns Consumer Sales Center operations with target customer segments. * 5. Directs purchased lead program, including vendor negotiations and vendor performance management. 6. Directs development and management of Infinity's Affiliate Network of businesses. 7. Establishes, negotiates and maintains relationships with other carriers to expand available product offerings and meet the insurance needs of target households. 8. Performs all other duties as assigned. * 9. Must have regular predictable attendance. ______________________________________________________________________________ SUPERVISION EXERCISED: Leads a team of managers and supervisors. SPECIALIZED KNOWLEDGE AND/OR SKILL REQUIREMENTS: 1. 4 year college degree with Business/Management major required. Candidates with outstanding prior experience and performance may be considered in lieu of a degree. 2. Five (5) years Management experience required, preferably in Sales or Call center. 3. Property Casualty experience preferred. Licensed preferred. 4. English/Spanish bilingual preferred. 5. Good oral and written communication skills required. 6. Must have demonstrated interpersonal, training and sales skills. ______________________________________________________________________________ SPECIAL DEMANDS OR WORKING CONDITIONS: Primarily a stationary job that requires constant typing and frequent repetitive hand motion. Overall travel required is approximately 20% of the time and may include weekend travel. Employees understand our commitment to a positive work environment and dedication to the utmost in service. Advancement opportunities include skill training and career paths for many positions. We take the time to get to know our customers and recognize the importance of building long-term relationships – with our business clients as well as our hardworking employees. Come see why our team gets the job done right and has fun doing it!

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Regional Director Strategic Initiatives - South Region (Al, MS, LA, TX)

Bioscrip, Inc. Birmingham AL, 35202

BioScrip, Inc. is the largest independent national provider of infusion and home care management solutions, with approximately 2,1...

Posted 6 days ago

BioScrip, Inc. is the largest independent national provider of infusion and home care management solutions, with approximately 2,100 teammates and nearly 70 service locations across the U.S. BioScrip partners with physicians, hospital systems, payors, pharmaceutical manufacturers and skilled nursing facilities to provide patients access to post-acute care services. BioScrip operates with a commitment to bring customer-focused pharmacy and related healthcare infusion therapy services into the home or alternate-site setting. By collaborating with the full spectrum of healthcare professionals and the patient, BioScrip provides cost-effective care that is driven by clinical excellence, customer service, and values that promote positive outcomes and an enhanced quality of life for those it serves. Ours is a fast-paced dynamic work environment with room for new ideas and opportunities for career advancement. We offer a wide array of welfare benefits as well as Tuition Reimbursement, an Employee Referral Program, and a 401(k) Retirement Savings. Due to our exceptional growth and success, we are recruiting for a Regional Director, Strategic Initiatives to join our South Region team! SUMMARY The Regional Director, Strategic Initiatives (RDSI) is responsible for account, relationship and business development with BioScrip's regional customers in order to achieve or exceed planned new start, census, and Gross Profit goals for BioScrip's Core therapies. The successful candidate will focus on driving BioScrip market share with network hospital systems, multi-region care provider networks, regional payors, and large physician groups through C level relationships. The RDSI will regularly coordinate with National Payor account team, Specialty Sales, and local Account Executives and Clinical Liaisons. This person is a professional who thrives in an entrepreneurial environment where their commitment to driving revenue growth and market share gain will have a direct and immediate impact on the bottom line of the company. This is a unique opportunity with an established company focused on driving competitive differentiation through the quality of patient care. ESSENTIAL FUNCTIONS To perform this job successfully, an individual must be able to perform each essential function satisfactorily, with or without reasonable accommodation. * Develops comprehensive and detailed sales territory plans by strategic customer market and product in order to meet regional revenue and profitability objectives. * Identifies and develops relationships with C-Suite level personnel in order to understand and advance the accounts strategic goals * Conducts detailed sales analysis, including account identification, account penetration, and opportunity prioritization in order to maximize selling efforts. * Creates account strategy and resource plans necessary to successfully obtain strategic opportunities and accounts. * Forecasts monthly and annual revenue and new patient starts by customer and therapy type via Salesforce.com. * Maintains opportunity pipeline sufficient to achieve regional revenue targets. * Coordinates and aligns with local, regional, national and specialty sales efforts in order to capture pull through revenue from National Payor relationships, effectively execute on strategic initiatives, maximize market penetration and accelerate market share growth. * Positions BioScrip home infusion services and products with executive level contacts at large referral source systems. * Identifies and pursues strategic partnerships opportunities with patient referral sources. * Drives revenue growth and market share gain with Core infusion therapies. * Communicates customer feedback, strategic opportunities, competitive intelligence, and market changes or trends to sales leadership. * Leverages sales marketing collateral, market share reports, customer census, billing data, and historical revenue and opportunity information prioritize regional sales approach. * Interacts with regional branch resources (Pharmacy, Intake, Reimbursement, Nursing, etc.) to ensure quality of service for strategic accounts. * Each employee is responsible for adhering to those performance programs, policies, procedures, guidelines and internal control standards established to guide the operation of the Company. Each employee must be made aware of and understand proper internal control procedures associated with their specific job function as communicated by his/her manager. Each employee is responsible for reporting concerns that he or she may have with respect to deficiencies in internal control. * Performs other duties as assigned. SUPERVISORY RESPONSIBILITIES * No supervisory responsibilities. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job, with or without reasonable accommodation. * Work is normally performed in a typical interior/office work environment. * The noise level in the work environment is usually quiet to moderate. * Up to 75% Travel required EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS Education: * B.S. /B.A. required, preferably in business, health care, or a related area. * MBA preferred, but not required Experience: * At least eight to ten years in sales and/or sales management, with significant background in selling healthcare products. * Understanding of healthcare reform and the Home Infusion market are highly preferred. * Previous experience selling to, and managing relationships with executive level contacts * Regular history of exceeding revenue and profitability expectations and goals * Demonstrated history of negotiation, implementation and renewal of significant customer contracts and programs. * Due to the growth of the Company and constantly changing market conditions, successful sales and business development experience in a growth-oriented company is necessary. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED The requirements listed below are representative of the knowledge, skill, and/or ability required, with or without reasonable accommodation. * Highly developed selling and relationship management skills. * The proven ability to take advantage of the product differentiation strengths and current market leadership position with a customer driven focus is essential. * Strong analytical and problem solving skills. Strong attention to detail. * Excellent written, verbal and presentation interpersonal skills are a requisite. * The highest level of integrity and ethics is assumed. * Ability to prioritize sales efforts and strategic initiatives based on value provided or return on investment. * Proficient level of software proficiency in using PC software to support activities, especially Microsoft Office, Salesforce.com. * The ability to work with confidential material and maintain confidentiality is required along with sensitivity to employees and customers needs and data. Language Skills Ability to read, analyze and interpret information appropriate to duties and responsibilities assigned. Ability to operate information systems, follow policy, complete required forms, and prepare reports. Ability to effectively present information and respond to questions from patients, and payors. Mathematical Skills Ability to perform basic mathematical calculations. Ability to calculate figures and amounts such as quota calculations, discounts, commissions. Ability to prepare budgets and revenue projections. Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions. BioScrip is an equal opportunity employer. All employment decisions are made without regard to age, color, race, ancestry, national origin, disability, genetic information, military status, religion, creed, sex, pregnancy, childbirth, marital status, citizenship, sexual orientation, gender identity, gender expression, legally protected medical condition, or any other basis prohibited by applicable law. Background checks and drug screens are part of our hiring process. Affirmative Action/Equal Opportunity Employer, Minority/Female/Disabled/Veteran.

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Director Of Food Service

E-Health Jobs Birmingham AL, 35203

Provides leadership and direction.?? Has the ability to hire, fire and discipline. Oversees quality and manages customer satisfact...

Posted 3 days ago

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Managing Director (Gulf Division Office) - Birmingham, AL

Mutual Of Omaha Insurance Company Birmingham AL, 35202

Provides overall direction and oversight for the division office's results related to: Advisor Recruiting, Training & Development,...

Posted 1 week ago

Provides overall direction and oversight for the division office's results related to: Advisor Recruiting, Training & Development, Sales, Expenses and Profitability. Collaborates with the office's leadership team to ensure that the Training & Development and Advisor Recruiting processes are followed and the appropriate tracking tools are effectively utilized. Motivates and coaches the leadership team to meet all division office production, recruiting and profit goals as well as personal developmental goals. Essential Job Functions: * Ensures territory achieves targeted growth through effective warm sourcing, interviewing, selecting, and training; monitoring, managing and appraising performance. Ensures development of the management team. Develops and implements succession planning, mentoring and career counseling for the Sales Directors, Recruiting Managers, Training Managers and advisors * Ensures territory achieves targeted net first year commission (NFYC) and annual new business premium (ANBP) goals through developing and implementing sales and marketing/prospecting strategies. Manages the territory to ensure persistence requirements, customer focus, product mix, geographic target markets and budget goals for the main Division Office and any satellite offices are met. * Ensures territories are compliant with state, federal and corporate requirements. Ensures territories are compliant with applicable state and national statutes, rules and regulations regarding sales practices, licensing and producer activity. Makes sure physical working environments are professional in appearance, appropriately sized and in compliance with safety laws and company policies. * Develops and maintains effective professional relationships with the Mutual of Omaha Advisors division, Field staff, Human Resources, Marketing, Compliance, Underwriting, Customer Service and other support areas to achieve revenue, sales, customer growth and profit goals for the territory. Facilitates the accurate identification and resolution of problems and participates in and supports Company initiatives. * Professionally represents Mutual of Omaha in local community, insurance industry and professional associations. Maintains a high level of prominence in the local community and association activities. * This position requires over 66% travel, which may include flying and/or driving and some overnight stays. * This position requires sitting over 66% of the time. Minimum Qualifications: * Broad and seasoned experience in insurance industry with in-depth knowledge of insurance industry practices and trends, current sales methodology, business and personnel. Demonstrated experience of management principles and practices, multi-line insurance fundamentals and state and federal regulations. * Proven sales and management experience. * Strong leadership, communication, judgment, and strategic planning with prudent risk taking abilities. * Ability to persuade, convince, influence and impress others to gain support and the ability to teach or foster development in others * Strong employee and agent recruiting, selection, training and retention skills * Ability to travel up to 70% of the work period, which may include some overnight * Must have a valid driver's license * Current license with ability to become licensed with Mutual, United and any required Affiliate Company in all required state(s). Preferred Qualifications: * Registration as an Investment Advisor Representative with a Series 65, Series 66 or qualifying professional designation (i.e., CFA, ChFC, CFP, CIC, PFS, etc.) * Registration as a FINRA Securities Principal. * Registration as a FINRA Registered Representative. * Detailed product knowledge with LADL (life, annuity, disability and long term care insurance products) expertise * Proficiency in applicable software and technology, including Microsoft Office and Salesforce If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at 1-800-780-0304. We are available Monday through Friday 7 am to 4:30 pm CST. For all other inquiries, contact our HR Helpline at 1-800-365-1405, option 4. Mutual of Omaha and its affiliates are an Equal Opportunity /Affirmative Action Employer, Minorities/Female/Disabled/Veteran To All Recruitment Agencies: We do not accept unsolicited agency resumes and we are not responsible for any fees related to unsolicited resumes. Advertised: Nov 2, 2018 05:00 AM Central Daylight Time Applications close:

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Director Of Engineering And Project Management

Staples Birmingham AL, 35202

Description The Director of Engineering & Project Management is a key role in Supply Chain. The primary role will be to ensure ...

Posted 5 days ago

Description The Director of Engineering & Project Management is a key role in Supply Chain. The primary role will be to ensure best in class engineering standards, processes and flow in our Operations enabling superior service capability to our external customers at the lowest sustainable cost for Staples. This role will work with both business and technical teams to build a scalable and reliable fulfillment network for Staples in North America. The desired candidate will provide technical guidance, operational expertise, and analytical support to Logistics Strategy, Facilities Design, Construction, Finance, Field Operations, and Operations Research teams. The successful candidate will develop material handling systems design (for order fulfillment and retail distribution operation) with the development of controls specifications, control schematics, PLC logic and implement solutions. This individual will also develop strategic operating procedures that support network-wide business objectives in Order Fulfillment and Retail Distribution and evaluate new or improved operating methods, technology, equipment, facility design, and layout. In addition, this role will lead the development of viable solutions to automate pick, pack and ship processes within our Fulfillment Centers using Robotics, Artificial Intelligence and Neural Networks, and provide guidance to teams that develop and implement algorithms to optimize Least Cost Algorithms, Order Fulfillment Logic, Cost to Serve Model and seamless multi-sourcing. * PLEASE NOTE* Job Location is in Framingham, MA (Stapes Corporate Office)-Open to applicants willing to relocate Impact on the Business: * Operate as a subject matter expert on fulfillment best practices and process improvements. * Lead Programmable Logic Control (PLC) program teams. * Perform on-site commissioning support. Innovation and Change: * Identify innovative revenue-generating and transformational opportunities for Staples Supply Chain and evaluate key performance indicators to monitor and research the heath of the operations. Use findings to initiate process improvements that support business goals and objectives. Communication/Interactions: * Work closely with the Software Engineering team to integrate control solutions. * Provide necessary documentation to support the field teams. People Leadership: * Oversees responsibilities and performance of team. * Conduct full performance appraisals and coaching for direct reports. * Review and approve pay actions for indirect reports Business Strategy: * Build and support the new robotics deployment plan within Staples Fulfillment centers. Qualifications Basic: * MBA or Master's degree in Engineering/Computer Science * Bachelor's degree in Engineering – Electrical or Mechanical discipline preferred * 6-10 years of big box DC/FC operational background preferably with a fortune 200, running a DC/ FC with full P&L responsibility. * 5+ years leading network process IE/Lean teams in multi-site improvement initiatives with demonstrable successful integrations of automation, MHE controls, and software in DC/FC environments. Knowledge of conveyor hardware and software functionality. * At least 1-2 years working in a Materials Handling environment. Experience designing and deploying a high quality, scalable enterprise robotic or automated solutions. Preferred Competencies: * Demonstrated successful integrations of automation, MHE controls, and software in DC/FC environments. Knowledge of conveyor hardware and software functionality * Experience with developing schematics, electrical layout diagrams, and electrical wiring. Experience with conveyor, sortation, and commissioning of Material handling equipment. Must enjoy and be willing to embrace, learn and implement new cutting-edge technologies. * Familiarity with Windows and Linux OS and the following programming languages C, C++, C#, Dot Net or Java is a plus. Staples is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other basis protected by federal, state, or local law. Staples

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Director Of Rehab PTA - Birmingham, AL - Somerby Sr Living Asst Living

Rehabcare Birmingham AL, 35202

SUMMARY STATEMENT: The ideal candidate will be a PTA, have Assisted Living, Outpatient, Home Health and/or Memory Care experien...

Posted 7 days ago

SUMMARY STATEMENT: The ideal candidate will be a PTA, have Assisted Living, Outpatient, Home Health and/or Memory Care experience. An interest in business development is also a plus. The incumbent may be responsible for providing therapy services including assessment as applicable, treatment planning and therapeutic interventions in an interdisciplinary environment consistent with the discipline's qualifications, professional practices and ethical standards. The incumbent shall also be accountable for and contribute to program development, quality improvement, problem solving, community education, and productivity enhancement in a flexible interdisciplinary fashion. 1. Ensure for program staffing team supervision and development. 2. Monitor team members competency, licenses/certifications, and memberships in applicable professional organizations. 3. Coordinate the development of team members through structured activities. 4. Communicate and demonstrate a professional image/attitude for patients, families, clients, coworkers and others. 5. Promote adherence to policies and practices of applicable professional organizations, client SNF and RehabCare Group. 6. Contribute to client relations and community education activities. 7. Assures that all patient care activities are performed according to the company policies and procedures and all applicable state and federal laws and regulatory agencies. 8. Participate in coordination of facility quality management and program evaluation activities. 9. Participate in survey preparation activities 10. Interact with assigned program consultant. 11. Participate in facility safety committee activities. 12. Manage the delivery of care in the most cost effective manner. 13. Coordinate treatment activity between disciplines and team members. QUALIFICATIONS: A track record of successful management experience and successful patient care experience is preferred. Experience working with a geriatric disabled population is desirable. Provision of own transportation is necessary. If you are a current Kindred/RehabCare employee Click Here.

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Director Of Technical Account Management, Southeast

Tanium Birmingham AL, 35202

The Basics: At Tanium, our Directors of Technical Account Management (DTAMs) serve as the linchpin of every customer engagement...

Posted 1 week ago

The Basics: At Tanium, our Directors of Technical Account Management (DTAMs) serve as the linchpin of every customer engagement. Working closely with our customers to demo, deploy, operationalize, and extend the Tanium platform, our DTAMs thrive on solving problems and building new technology. As a DTAM, you will be faced with an endless series of hard problems to tackle as our customers revolutionize enterprise operations and security with Tanium. Because the DTAM position encompasses a wide range of responsibilities and opportunities, we seek exceptionally versatile candidates with demonstrable acumen in each of the below areas. What you'll do: * Work closely with our customers to: * Demo, deploy, operationalize, and extend the Tanium Platform * Solve problems and build new technology (R&D) * Consistently and cogently address our customers' needs through astute verbal and written communication skills * Thrive in a team-oriented culture through delivering a significant individual contribution while collaborating with and strengthening teammates * Think critically, spanning the sales process through customer support, troubleshooting, and developing new capabilities on the Tanium platform * Work closely with CSMs on improving Tanium operational status within key accounts * Expected to travel up to 25% of the time on average (can vary by region) We're looking for someone with: * Education * BS degrees in computer science, MIS, or equivalent experience required * Experience * 5+ years experience in technical positions required * 2+ years of experience in customer-facing or customer support positions * 8+ years' of operational experience in endpoint operations or security * Hands-on Tanium experience a major plus * A demonstrated track record of taking ownership of complex initiatives and producing successful outcomes * Demonstrated aptitude in one or more programming languages * Broad knowledge across several technical domains, coupled with deep knowledge in one or more of the following: * Endpoint Security * Endpoint Support/Troubleshooting * Incident response * Systems Management * Systems Administration * Software Engineering * Utility Scripting (e.g. bash, PowerShell, VBScript, Python, etc.) * Demonstrated critical thinking skills * Excellent written and verbal communication skills * Naturally team-oriented with a mission first attitude About Tanium: At Tanium, we empower the world's largest organizations to manage and protect their mission-critical networks. There's a reason why 6 of the top 10 retailers, 12 of the top 15 US banks, and 4 of the US Armed Forces use Tanium. We provide lightning-fast capabilities at their fingertips to see everything and do anything across their computer networks – with unparalleled scale. We pride ourselves on being unstoppable in the pursuit of our mission. We are diverse problem solvers driven to do the right thing and win as a team. Join our team at tanium.com/careers/.

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Director Of Nursing Services

Birmingham Nursing And Rehabilitation Center, LLC Birmingham AL, 35202

Full-time position with competitive wages and excellent benefit package. DUTIES JOB KNOWLEDGE AND ROLE RESPONSIBILITIES: ...

Posted 1 week ago

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Unit Director Housekeeping

Compass Group USA Inc Birmingham AL, 35202

Crothall Healthcare is a Compass One Company that provides specialized, high-quality, innovative, and responsive support services ...

Posted 1 week ago

Crothall Healthcare is a Compass One Company that provides specialized, high-quality, innovative, and responsive support services exclusively to the healthcare industry. Crothall serves many of the Top 100 Hospitals throughout its over 1300 healthcare service teams in 46 states. Crothall has been recognized as one of Modern Healthcare's Best Places to Work and Best Places to Work in Pennsylvania since 2013 and Becker's Top 150 Places to Work since 2016. A division of Compass Group USA, we have more than 26,000 team members. Our core services include: Environmental Services, Patient Transportation, Laundry & Linen, Facilities Management, Healthcare Technology Solutions, and Ambulatory EVS. Learn more at www.Crothall.com. Job Summary Job Summary: Working as an EVS Director III, you are responsible for directing and overseeing the operational needs of the Housekeeping Department. You will coordinate the tasks of the Assistant Directors and Operations Managers. You will serve as a liaison between administration and hospital departments. Key Responsibilities: * Responsible for department's financial data and statistics * Monitoring of unit expenditures * Develops and recommends department operating budget and ensure the department operates within budget * Coordinates housekeeping activities with other departments * Actively communicates with administration and other hospital departments * Plans, organizes, directs, coordinates, and supervises functions and activities of the department * Establishes work standards and work flow * Establishes and implements policies and procedures for departmental operations * Encourages and mentors staff creativity and innovation * Ensures compliance with all regulatory agencies * Proactive in the achievement of the facility goals and objectives * Demonstrates quality leadership in meeting performance plans * Reads, develops, and administers Total Quality Management process * Develops and maintains job descriptions for department staff * Encourages staff to participate in education programs Preferred Qualifications: * Four year college degree and equal related experience required * Three years of housekeeping management experience at a healthcare account required * Must have the ability to analyze and interpret financial and other data * General business acumen * Excellent interpersonal skills * High customer service and quality attitude * Ability to work under pressure and meet established goals and objectives * Public speaking skills * Ability to utilize a participative approach to managing staff, to organize and prioritize tasks, and to develop budgets with a complete understanding of facility needs and requirements * Excellent stress management skills, administrative and organizational, and follow-through (with associates and clients) skills required * Proficient in the use of Windows based office software including but not limited to Microsoft Office, Word, Excel, PowerPoint and Outlook Apply to Crothall today! Crothall is a member of Compass Group USA Click here to Learn More about the Compass Story Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applican

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Medical Director

Aetna Inc. Birmingham AL, 35202

POSITION SUMMARY Operating with a balance of internal and external-facing activities that support a shift to a higher-touch...

Posted 2 weeks ago

Job Description POSITION SUMMARY Operating with a balance of internal and external-facing activities that support a shift to a higher-touch, patient-centric focus, the Medical Director will develop, implement, support, and promote population health strategies, tactics, policies, and programs that drive the delivery of high value healthcare to establish a sustainable competitive business advantage for Aetna. These strategies, policies, and programs are comprised of care management, utilization management, quality improvement, network management as well as clinical coverage protocol. The Medical Director will be provider facing and have fluency in data analytics. This position supports our GLAM market (GA / LA / AL / MS) and can be a work at home position. Louisiana location is highly preferred! Fundamental Components: Ability to collaborate with all stakeholders, understanding the guidelines/basics (how to access) the requirements, opportunities to shape within the scope in the role as a Health plan medical director. Analytics-Oriented Care: Ability to analyze data (e.g., medical cost trends) and articulate trend and solutions. Ability to manage complex cases and client relationships with plan sponsors. Proactive Virtual and Physician Engagement: Leveraging multi-channel platforms and digital technology to interface with internal and external customers in virtual and physical settings. End to End Market Understanding: Strong business acumen. Understands and proficient articulating products, financial impacts and market demands. Consultant and supplier of actionable information. Expertise in market/state DOL regulations delivering HEDIS/STARS consultation. Communications: Both oral and written skills and comfort in presenting to varied groups. Key Responsibilities: Building and fostering relationships and partnering with the external community and providers in a pro-active approach to population health. Using data analytics to inform and influence population health to drive behavior change and expand Aetna's medical management programs to address specific member conditions across the continuum of care. Collaborating with the Medical Management staff both internally and externally ensuring timely and consistent responses to members and providers. Providing clinical expertise and business direction in support of medical management programs through active collaboration and participation in clinical team activities. Acting as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. Attend & engage in Sales presentation meetings when necessary providing the value prop/story behind the partnerships Executing predetermination reviews, reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Manage UM transactional work(front line reviews and appeals). Building and inspiring a culture of continuous improvement for better quality of care. Creating products that utilize patient engagement in a new and effective manner utilizing tools and analytics. Overseeing utilization review/quality assurance directing case management. Provide UM services based on business demands and shifting business needs BACKGROUND/EXPERIENCE 2-3 years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. Previous Managed Care experience with a payer / insurance company preferred EDUCATION The highest level of education desired for candidates in this position is a MD or DO. LICENSES AND CERTIFICATIONS And Active Unrestricted State Medical License is required. Active Board Certification in a recognized specialty is required FUNCTIONAL EXPERIENCES Functional - Medical Management/Medical Management - Administration/Management/1-3 Years Functional - Medical Management/Medical Management - Concurrent Review/1-3 Years Functional - Medical Management/Medical Management - Physician Relations/1-3 Years Functional - Clinical / Medical/Direct patient care (hospital, private practice)/1-3 Years Functional - Clinical / Medical/General Management/1-3 Years TECHNOLOGY EXPERIENCES Technical - Desktop Tools/Microsoft Word/1-3 Years/End User Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User Technical - Desktop Tools/TE Microsoft Excel/1-3 Years/End User DESIRED SKILLS Benefits Management/Maximizing Healthcare Quality/ADVANCED Service/Providing Solutions to Constituent Needs/ADVANCED ADDITIONAL JOB INFORMATION Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come. We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence. Together we will empower people to live healthier lives. Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities. We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Aetna takes our candidates's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Director Consumer Sales

Regional Director Strategic Initiatives - South Region (Al, MS, LA, TX)

Director Of Food Service

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Managing Director (Gulf Division Office) - Birmingham, AL

Director Of Engineering And Project Management

Director Of Rehab PTA - Birmingham, AL - Somerby Sr Living Asst Living

Director Of Technical Account Management, Southeast

Director Of Nursing Services

Unit Director Housekeeping

Medical Director

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Director Consumer Sales

Regional Director Strategic Initiatives - South Region (Al, MS, LA, TX)

Director Of Food Service

Boost your job search productivity with our free Chrome Extension!

Managing Director (Gulf Division Office) - Birmingham, AL

Director Of Engineering And Project Management

Director Of Rehab PTA - Birmingham, AL - Somerby Sr Living Asst Living

Director Of Technical Account Management, Southeast

Director Of Nursing Services

Unit Director Housekeeping

Medical Director

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