A Bachelor's degree in a health-related field is required; nursing is a plus.
At least 5 years of current clinical or functional-area experience, including experience in the managed care industry, medical claims trend analysis, or health insurance sales/account management, or an equivalent combination of education and experience.
Strong presentation skills with multiple levels of management.
Ability to analyze data and interpret trending incidents.
Strong personal computer skills.
Responsibilities
Identify opportunities to improve health care affordability by analyzing data and providing answers and recommendations for client consultation.
Provide consultative subject-matter-expert information on 360 Health programs.
Develop and present reports to clients to demonstrate clinical program value.
Manage clinical service issues to ensure performance guarantees are met and clinical issues are proactively resolved.
Build relationships with internal and external stakeholders.
Participate in the clinical program implementation process.
Understand client-specific issues and apply knowledge, insight, and experience to strategic recommendations.
Understand the business processes supported by the system.
Desired Qualifications
Two years of account management experience in a managed care setting, with experience in sales, account management, and program development.
Job Description
CLINICAL ACCOUNT DIRECTOR
WALLINGFORD, CT
EXP 5-7 yrs
DEG Bach
RELO
BONUS
Job Description.
The Clinical Account Director is responsible for clinical account management of an assigned group of clients (80% 1-5k, 20% 5K+ segment). Account director will review medical claim trend data, providing analytical insight to client organizations. Primary duties may include, but are not limited to:
• Identifies opportunities to improve health care affordability through analysis of data and ability to provide answers and recommendations from the data for client consultation.
• Provides consultative subject matter expert information on 360 Health programs.
• Develops and presents reports to the client to demonstrate clinical program value.
• Manages clinical service issues to ensure that performance guarantees are met, and that clinical issues are proactively resolved.
• Builds relationships with internal and external stakeholders.
• Participates in the process for clinical program implementations.
• Understands the issues specific to the client and applies knowledge, insight and experience into strategic recommendations.
• Understands the business processes that the system supports.
Qualifications
• Requires a Bachelor's degree in a health-related field, nursing a plus.
• 5+ years of current clinical/functional area experience (including managed care industry, medical claims trend analysis or health insurance sales/account management); or any combination of education and experience, which would provide an equivalent background.
• Strong presentation skills with multiple levels of management.
• Ability to analyze data and interpret trending incidents.
• Strong PC skills.
• Two years of account management in a managed care setting with experience in sales, account management, and program development is preferred.
Bonus: 12.5%
Qualifications
Additional Information
All your information will be kept confidential according to EEO guidelines.