CLINICAL ACCOUNT DIRECTOR

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. • Two years of account management in a managed care setting with experience in sales, account management, and program development is preferred. Additional Information

All your information will be kept confidential according to EEO guidelines.

Direct Staffing Inc

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