Responsibilities
Primary responsibilities include the sale of Wellness services through brokers and consultants to new and existing large employer groups in order to meet company objectives of growth, retention and financial results.
 
Qualifications

Job Summary

Description
Responsible for the coordination, implementation and communication of PART D program. Will coordinate with QI, PAC and Medical Directors on clinical pharmacy programs to ensure appropriate medication use and cost effectiveness.
 
Required Skills
Ability to manage multiple, complex, concurrent projects.
Excellent written and verbal communication skills.
Excellent presentation skills.
Excellent relationship building skills.

Oversee medical management operations in the health plans. Ensure all Health Plans attain annual health benefits ratio (HBR) targets. Implement and evaluate new and existing projects and processes developed by corporate medical management. Assist in measuring the impact and outcomes of medical management initiatives.

Knowledge/Experience
Bachelor's degree in related field. Master’s degree preferred. 8-10 years of related medical management experience. Analytical skills and Six Sigma experience preferred. Nursing degree preferred.

Job Description

AVP, Health Plan Operations
Nevada

Nurse Practioners
Nationwide Opportunities

The Nurse Practitioner is responsible for the overall smooth operation of the clinic in which he/she works. This position greets and provides medical services to walk-in patients. The NP is responsible for revenue generation and cost containment in his/her individual clinic and must maintain the highest quality of care and customer service.

Qualifications

Clinical Program Manager - West Coast

Claims Analyst or Claims Analysis Manager, Nashville, TN