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