Performing account management functions from the medical management perspective
Serving as primary contact for marketing major/national and mid-market accounts specific to presentations for existing and prospective clients
Addressing medical issues and questions on medical management programs
Serving as liaison between marketing and health care management to analyze data and interpret information
Preparing for meetings, site visits, and requests for proposals
Recommending program enhancements to health care management operations based on client feedback
Ability to travel, including overnight stays
Requirements
Registered Nurse (RN) or Registered Dietician or Licensed Master Social Worker (LMSW) or Licensed Professional Counselor (LPC) with current, unrestricted, valid license in the state of operations
4 years’ experience in a position which requires understanding/applications of managed care products, e.g. PPO, HMO, and CDHP
3 years clinical or behavioral counseling experience
Project management experience including development, implementation and follow-up
Knowledge of URAC, NCQA, State Department of Insurance and/or standards and accreditation processes of comparable regulatory bodies, i.e. JCAHO
Organizational skills for maintaining a library of presentations
Verbal and written communication skills for crafting presentations including developing corporate communications/presentations
Business writing skills with ability to build customer relations
Ability to interact with numerous internal departments and keep abreast of products and service deliverables
PC proficiency to include Microsoft applications with emphasis on developing PowerPoint presentations and other presentation formats