Director, Health Resume Samples

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T Stiedemann

Teresa

Stiedemann

390 Kreiger Lights

Boston

+1 (555) 937 0630

390 Kreiger Lights

Boston

Phone

p +1 (555) 937 0630

Experience Experience

Dallas, TX

Director Health Services

Dallas, TX

Parker and Sons

Dallas, TX

Director Health Services

Develop strategic initiatives to improve quality, expense, and performance measures
Implement performance improvement plans to address variances
Lead or provide guidance on initiatives to improve member’s quality of life and health outcomes
Participates and upholds policy development and review
Operation of an incident management, investigation and response system; including ongoing monitoring for results and continued resolution
Align and motivate key process stakeholders, participate in committees related to workflow, quality, compliance and clinical practice
Recruit, lead, mentor, and provide guidance to Associates

Los Angeles, CA

Associate Director Health Services

Los Angeles, CA

Morissette, Feeney and Wiegand

Los Angeles, CA

Associate Director Health Services

Directs the development of results-oriented relationships with contracted facilities and providers
Operation of an incident management, investigation and response system
Reviews utilization and compliance metrics to evaluate the service manager and service coordinator competency program
Adjusts caseload assignments as the staff demonstrates competency in the service management/service coordinator role
Directs the integration of the local quality assurance committee activities into clinical practice
Strategizes and evaluates methodologies for program adaptation and integration within partnering organizations
Oversees integrity of the patient database system to verify consistency/accuracy of the data entry

present

Los Angeles, CA

Executive Director, Health Outcomes & Value

Los Angeles, CA

Hirthe-Gutkowski

present

Los Angeles, CA

Executive Director, Health Outcomes & Value

present

Development and execution of comprehensive annual strategic and operating plans and budget
Developing value evidence materials and presentation to U.S. payers
Design of Phase IIIB/IV studies with HEOR endpoints to support U.S. region
Model development to assess the economic value of medical products and predict budget impact
Serve on Global Evidence and Value Development Leadership team
Quarterly dashboard updates and report for key activities
Provide support to relevant value and/or HEOR policy issues as requested by Chief Medical Office functions, government affairs, and/or managed markets

Education Education

Bachelor’s Degree in Health Economics

Oregon State University

Bachelor’s Degree in Health Economics

Skills Skills

Established proficiency of basic finance, return on investment and profitability analysis
Strong ability to manage, motivate and lead others
Responsible, flexible and accountable with a proactive approach and ability to work to deadlines
Ability to work independently and make decisions with occasional consultation from supervisors
Strong creative skills
Demonstrated knowledge of managed markets, pharmaceutical distribution channels, competitive trends and the impact on UCB key products
Ability to catalyze team problem solving thought processes
Ability to generate, analyze and quantify options in order to identify appropriate solutions
Demonstrated competence and understanding of the U.S. payer landscape
In-depth understanding of marketing planning – life cycles and life cycle planning

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Director, Health Management Services Resume Examples & Samples

Develop and maintain effective and productive relationships with clients, prospects and BB&T sales partners including
Ability to evaluate complex employee health issues, diagnose potential problems and identify opportunities for HMS solutions
Must be able to communicate solutions to complex employee health promotion challenges to employers/clients in a manner that can be easily understood and assessed by decision makers
Excellent written and oral communication, interpersonal and relational skills, with the ability to quickly develop relationships of trust and confidence with a variety of people and personalities, at all levels within an organization
Excellent escalation and trouble resolution skills, ability to drive projects to completion, on-time and on budget
Self-motivated with a highly-developed ability to effectively multi-task and work collaboratively in a dynamic, fast-paced, evolving, team environment
Strong active listening skills with the ability to ask thoughtful and probing questions to determine client needs
Ability to make clear, logical decisions based on facts, taking into consideration the big picture, long and short term effects, and exercising sound judgment when handling complaints, confidential and sensitive issues
Advanced skills in Microsoft Word, Excel, Access and PowerPoint, with working knowledge of Publisher and MS Project
Ability to supervise staff and manage performance
Ability to travel hours at a time both in cars and by other modes of transportation
Able to carry materials weighing 30 lbs
Bachelors degree required or combination of applicable experience and education
Minimum five (5) years working as an Account Manager in the health promotion and/or employee benefits industries
Demonstrated understanding of general business and financial concepts and principles, relating benefit strategies to broader business and HR objectives
Demonstrated, effective sales skills including need diagnosis, solution presentation, management of decision making process and closure of sale
Ability to influence decisions makers and drive activities to generate new revenue
Demonstrated ability to deliver consistent positive results through influencing, coordinating and managing the efforts of others
Demonstrated track record of managing staff, to include recruiting, training, and supervising
California insurance license desired but may be obtained within three (3) months of hire
Certified Employee Benefits Specialist designation desired

Director, Health Equity Resume Examples & Samples

Bachelor’s degree required. Master’s Degree in Public Health, Business Administration,HumanCentered Design, or a similar degree ispreferred
Minimum 7-10 years of management experience with at least 5 years of leading strategy connected topartnershipdevelopment and innovation isrequired
Minimum 7-10 years of experience at a local Y, another Community-Based Organization, or Y-USA; senior management experience is stronglypreferred
Expertise and advanced technical knowledge in collaborative (e.g., Collective Impact, or Pioneering Healthy Communities initiatives) project methods and management, and preferably with a history of equity-related work in public health
Track record of creating a team culture that produces inclusive work-environment, and models this for local Ys
Excellent verbal, written, and interpersonal communication skills arerequire
Strong collaboration skills and experience working with groups and individualsat all levels within an organization arerequired
Strong project management skills, and an ability to work under the pressureof meeting multiple deadlines isrequired
Advanced analytical and problem solving skills arerequired
Experience in entrepreneurial ventures is stronglypreferred
Experience creating strategic partnerships with for-profit andnonprofit organizations and navigating legal matters associated with such partnershipsis stronglypreferred
Ability to travel approximately 40% of the time isrequired
Intermediate skills with Microsoft Office Suite isrequired
Commitment to YMCA character development values of caring, honesty,respect and responsibility isrequired
Supports National Health Officer in the achievement of Y-USA’s Strategic Plan Objectives by directing all aspects of strategy development, implementation, evaluation anddissemination for projects and initiatives related to health equity
Leads work with the Program Development and Chronic Disease Prevention Program Groups to infuse programs with equity-focused tools, technical assistance, and best practices to promote health equity
Leads work with other Y-USA staff and departments (e.g., Diversity and Inclusion, International, Marketing and Communications, Research and Evaluation, Training and Leadership Development, Financial Development, Human Resources, Legal, etc.) to advance the implementation and dissemination efforts for health equity
Coordinates and effectively works with partners, including governmental and private non-profit or for-profit organizations, local YMCA’s, academic institutions, foundations, and other individuals or organizations that are supportive of Y-USA’s work to advance health equity
Provides direct support to YUSA/RWJ Partnership by working with the Foundation, Youth Development, and Membership, to ensure health equity outcomes are supported and deliverables are met
Develops and maintains a highly-functioning network of local Ymembership professionals and relationships with key external organizations toensureknowledge sharing, and to elevate the Y’s stature within this specialized area of work
Communicates in multiple formats about Y-USA’s vision, strategy, and equity-focused efforts
Performs other duties as assigned by National Health Officer

Digital Director, Health Industries Advisory Resume Examples & Samples

Project engagement teams: Envision and prioritize requirements; develop solutions that exceed client expectations, including creating application implementation road maps; provide technology and architecture recommendations that meet clients? business needs, utilizing tools and techniques to expedite project phase development and implementation; and, align with internal teams to provide appropriate budget and resource commitments to support roadmaps
Understanding and documenting existing systems and technology
Developing architecture diagrams, drawings, and visual communications
Identifying, assessing and selecting alternative solutions

Buck-director, Health Actuary Resume Examples & Samples

Contribute to building recognition for Buck and for the H&P practice in the market, positioning the firm for revenue growth
Demonstrate insightful thinking by delivering relevant ideas and practical, real-world solutions to our clients, leading to utilization of H&P resources
Demonstrate leadership, innovation, and collaboration internally as well as with Buck’s clients and prospects
FINANCIAL SKILLS
10+ years of experience in the human resources field including benefits, consulting, technology, retirement, administration, etc… required
5 or more years in a leadership role with responsibility for direct reports preferred

RN Consulting Director, Health Advisory Resume Examples & Samples

Performance management
Budgeting and forecasting capabilities
Cash flow optimization and the use of capital
Building and maintaining cost-effective controls
Developing and sustaining deep client relationships using networking, negotiation and persuasion skills to identify and sell potential new service opportunities
Preparing and presenting complex written and verbal materials
Defining resource requirements, project workflow, budgets, billing and collections

Director, Health & Human Services Resume Examples & Samples

Manage and deliver large, complex public services/state/local government engagements that identify, design, and implement creative business and technology services for state/local government clients
Develop and maintain relationships with a large number of Senior Management at state/local government agencies, positioning self and the firm for opportunities to generate new business
Conduct on-going reviews of integrator deliverables through systems development life cycle
Twelve years of experience during the system and/or user acceptance testing planning or execution of a health and human services engagement in a team environment
Demonstrated ability to identify business opportunities, lead project engagements, attract new business, and build lasting professional relationships with senior client executives
Demonstrated history of meeting and exceeding multi-million dollar business development and managed revenue targets
Applied experience related to enterprise architecture and service oriented architecture

Technical Director Health Systems Strengthening Resume Examples & Samples

Guide the integration of health systems strengthening liaising with the key technical areas of nutrition, HIV/AIDS, TB, maternal and child health
Provide technical leadership, TA and capacity building to strengthen integrated service delivery
Lead a team of expert technical staff responsible for day-to-day guidance and oversight of project activities in order to achieve project targets
Produce tools and materials to strengthen the capacity of staff and local partners to deliver quality integrated services
Monitor field activities and ensure timely completion of objectives
Produce and present papers at local, regional and international forums to share experiences and emerging best practices
Supervise and oversee a team of technical staff for the project and ensure clear roles and responsibilities and lines of communication are maintained amongst the team members
Develop/produce contractual deliverables (quarterly, annual, field project evaluations, etc.) in conjunction with other key staff and external evaluators
Keep abreast of global, regional and national developments in the field of HIV / AIDS, MNCH, nutrition and TB services
Contribute to maintaining a strong relationship with USAID and in-country stakeholders (at national and district levels)
Master’s Degree or its International Equivalent - Knowledge/Information Services, Communications, Education, Environment, Health, Behavioral, Life/Social Sciences International Development, Human Development or Related Field
Typically requires 10+ years of project management experience within a relevant area
Articulate, professional and able to communicate in a clear, positive manner with clients and staff
Must be able to read, write and speak fluent English

Director Health Services Resume Examples & Samples

Successful candidate may represent the plan at meetings with stakeholders, members and regulators, as requested by leadership
Candidate should have experience working with diverse groups of consumers, state/federal regulators, and stakeholders
Candidate should be a patient advocate, and have tenacity for finding solutions
Conduct themselves in a professional manner at all times
Registered Nurse (RN), licensed in Virginia
Licensure must be unrestricted in the state of Virginia
Must be a Virginia resident
Director must have at least 7 years of experience in home and community-based services, waiver programs, case management, LTSS, TCM IDD and/or Behavioral Health populations

Associate Director, Health Policy Resume Examples & Samples

Understanding of health care provider strategy and operations, particularly as impacted by policy; Research skills including interviewing internal experts and external stakeholders, conducting literature reviews, and analyzing legislative and regulatory proposals
Effective use of graphics and visuals to communicate ideas and information
Independently managing projects including setting clear, reasonable deadlines and meeting such deadlines
Producing polished, persuasive written products
5+ years of relevant experience
Experience with at least one of the following
Developing health policy white papers, articles, or presentations,
Conducting long-term research (at least 3 months in duration)
Conducting primary and secondary research
Writing in-depth reports in an academic or professional setting
Experience with health care payment, quality and efficiency reforms including accountable care organizations and bundled payments
Experience with or interest in policies related to health care information technology
Experience leading research for and/or consulting with health care provider organizations
Experience on the Hill, at the U.S. Department of Health and Human Services, or think-tank or equivalent organization
Demonstrated experience meeting deadlines
Experience with solution-focused and creative problem solving

Director, Health Resume Examples & Samples

Product Development: Serve on product teams that design, develop, implement and assess impact products that align with the impact strategies for health access and well-being with donor aspirations and volunteer engagement opportunities embedded
Business and Partnership Development: Working with other functional teams at United Way Worldwide, develop a comprehensive and integrated resource development plan that supports successful health impact strategies (at the worldwide, national, and community levels) with financial, volunteer, and advocacy resources. Provide leadership and support in developing, managing, and growing strong, long-term business and funding relationships with key funders and partners that advance United Way’s efforts to improve health and success. Identify key national partners and resources that can support impact strategies and products internationally, nationally and locally
Identify knowledge gaps, formulate meaningful responses to address the gap, and document best and promising practices that can serve as community resources to strengthen the capacity of United Ways in improving community conditions that support good health. Develop toolkits and resources that support and strengthen broad community collaboration and the engagement of individuals and organizations to support community solutions
Leadership Positioning: Raise United Way’s visibility, reputation, and position as a key thought leader and force for social change in the health arena . Leverage visibility and credibility with thought leaders and organizations in the field and connect with strategic global and national health-oriented initiatives. Represent UWW as a speaker at national and other meetings and events, as appropriate
Direct the overall management, integration, and implementation of United Way’s impact strategies and products that support stronger health outcomes in communities. Working collaboratively with teams from the US Network and International Network, support the capacity building efforts focused on local United Ways. Develop and implement policies, procedures and work plans to coordinate daily work activities that support the achievement of the Impact team’s work
At least 5-7 years of prior relevant work experience is preferred in health and/or public health. Additionally, requires between three and five years of previous people management experience and experience in a leadership role. Background in maternal and child health and/or global health is welcomed but not mandatory
Deep and comprehensive experience in program design and development. Demonstrated experience in implementing and managing national initiatives and programs, including relationships with external consultants, funders, partner organizations, and coalitions. Experience with issues relating to growth/scalability, sustainability, program outcome measurement, and community engagement
Demonstrated experience in internal and external collaboration, joint problem solving, and constructive team dynamics
Demonstrated ability to lead through a position of influence. Collaborative leadership style and the ability to work collaboratively with a small professional staff. Highly developed facilitation, coaching and engagement skills
Strong project management skills and ability to drive multiple high profile projects forward, effectively leveraging of all resources to drive results. Proven ability to make smart trade-offs and to prioritize actions. Ability to handle multiple competing priorities in a fast-paced environment with minimal outside direction, while constantly advancing long term goals
Demonstrated ability to cultivate and maintain relationships with key funders (public, corporate and philanthropic), influencers and stakeholders both internal and external to the United Way network. Experience is desired with community-based organizations, the business community, and policy advocacy groups
Excellent research, writing/editing, analytical, communication, and public speaking skills, including the ability to collect, review, synthesize, and present information and findings
Some domestic and international travel required

Sales Director, Health Systems Resume Examples & Samples

Develop and manage interoperability partnerships with hospitals and health systems
Manage multiple health system engagements simultaneously to specific target goal
Leverage and manage internal teams and resources to facilitate this initiative
Manages business stakeholders
Ensures stakeholders are aware of priorities, progress and achievement
Present status of initiative against targets to executive leadership team
Develop/maintain in-depth product knowledge and expertise with regards to Inovalon product offerings; and
Promote Inovalon Interoperability initiative through industry conferences
Bachelor’s degree in Information Systems, Nursing, Business/Health administration or equivalent degree
8 years experience working in a healthcare environment required
Experience as an administrator/executive of hospital or health system preferred or experience interacting and collaborating with healthcare executives desirable
Experience with healthcare sales desirable
Ability to deal with multiple projects and deadlines
Must have superior communication and networking skills, and the ability to interact with internal and external executive level leadership
Ability to navigate, coordinate, collaborate and negotiate within complex business unit structures and product lines
Must be articulate and personable and able to easily facilitate conversations and build new partnerships
Ability to understand technical issues
Collaborative in driving decisions
Must effectively communicate regularly with a large audience having diverse and varied areas of expertise and product understanding; and
Excellent writing, speaking and presentation skills; active listening skills a must

Business Director, Health & Life Sciences Resume Examples & Samples

Experience managing an organization with 5 or more direct reports
Experience with advanced analytics (e.g., forecasting, optimization, predictive modeling)
Knowledge of business intelligence and/or data warehousing/ETL software
Experience with analytic and business approaches related to the Health Care and/or Life Sciences industry
Strong verbal, written, and interpersonal communication skills
Ability to relate technical concepts to system applications and user needs
Ability to work and learn independently and as part of a team

Director, Health Payer Operations Resume Examples & Samples

Corporate and Business Unit Strategy: Strategic Planning and Portfolio Management
Innovation Strategy: Market Entry, Business Design, Growth and
Developing a business vision and leading complex projects while functioning as a trusted advisor at the highest levels of client organizations
Identifying

Director, Health Informatics Resume Examples & Samples

Lead all data integration efforts designed to drive performance improvement initiatives for each of the business units within SHCN. SHCN data sources may include payer claims data, EHR clinical data, and lab data
Lead efforts to integrate sources of performance data across Stewards Hospitals and Steward Medical Group. Data Sources may include Meditech, Avega, and multiple Athena modules
Oversee the technical components of all initiatives involving data in-flows and out-flows among various analytic tools, internal and external data sources, and vendors
Serve as lead relationship manager with all external analytic and data vendors; coordinate vendor activities with internal leadership, performance teams and Steward IT
Lead the SHCN data team to develop and automate real-time performance reports for each for the SHCN business units
Oversee efforts to merge multiple data sets to facilitate robust analytics
Utilize established and standard methodologies to develop robust QC processes to ensure data integrity
Collaborate with IT colleagues to develop innovative data solutions and drive performance improvement efforts
Recommend and implement changes that will enable SHCN to improve data management practices
Work with a broad range of stakeholders to understand complex business questions and deliver solutions to business owners
Lead team of managers, programmers, and developers
Mentor staff for continued career and skills development
Advanced understanding of information systems and methods of integrating multiple large data sets
Advanced understanding of methods of analysis of large data sets
Excellent executive-level written and oral communication skills are needed to effectively communicate goals, plans and status. The ability to develop and deliver presentations with clarity and simplicity is essential
Strong understanding of core ACO business principles and healthcare data
Proven history of successfully implementing organizational data/informatics initiatives, with evidence of creative design, implementation, and automation of healthcare data
Must be fluent in designing, developing, implementing, and maintaining dynamic data management processes
Experience combining disparate healthcare data, with proven ability to extract and synthesize data
Commitment to service excellence

Account Director, Health IT Resume Examples & Samples

Bachelor’s degree required in Communications, Journalism, Marketing, English or related field
At least 7 years of experience in PR – in an agency and/or corporate environment. 8-10 years preferred
Minimum of 5 years direct experience in biotechnology, medicine, clinical trials or related pharmaceutical expertise whether agency-side or client-side
Minimum of 3 years individual and team management experience, including experience developing a team
Passion for doing great work and being part of a growing organization where creativity and collaboration are valued is a must

District Director, Health Systems Resume Examples & Samples

Provides valuable coaching training and “upskilling” to Sales Executives to improve consistency quality and effectiveness of Sales Executives. Spends significant time (>50%) with reps to mentor and help them develop (e.g. through ride-alongs sales situation role plays coaching for success)
Works with Sales Executive to create specific territory call and sales strategy prioritizations for both existing and prospective accounts with a focus on new selling opportunities to meet district sales goals
Develops strategic sales plans to support regional/corporate goals across a given territory
Coaches sales associates in the delivery of sales presentations utilizing the AmerisourceBergen Storyboarding and Power Messaging concepts as well as other company resources such as ePresentation and eBrochures
Works directly with Sales Executive and corporate sales associates to transition newly acquired business to the individual territory assignment
Identifies opportunities to sponsor career path for direct reports
Develops maintains and effectively utilizes subject matter expertise in retail and alternate care customers/markets and ABDC programs such as PHS, ABSG, and PRxO Generics
In cooperation with Sales Executives creates skill progression plans. Acts as a mentor to help reps achieve their development goals and helps them appropriately utilize the resources of ABDC (e.g. training)
When appropriate assists directly in customer calls to help accelerate the sales process and negotiate/close challenging or complex deals
Develops maintains and effectively utilizes financial acumen to drive increased profitability for ABDC and balances these factors against business growth and ability to close deals. Can articulate the value of solutions in terms of the customer’s P&L
Develops strategic sales plans to support regional/corporate goals across the District as well as within individual Sales Executive assignments
Utilizes the AmerisourceBergen consultative sales approach of uncovering customer business needs and fitting those needs to AmerisourceBergen solutions with the Sales Executive and Account Manager
In accordance with National/Regional goals directs and sets performance goals in coordination with Sales Executive and Account Manager accordingly with the use of all available company resources such as Microstrategy Sales Trac and Smart Tool
On-boards and ensures appropriate training for newly hired Sales Executive and Account Manager. Acts as a solid role model for new hires and builds bench strength for the future
Conducts performance reviews in accordance with AmerisourceBergen policies and performance management procedures; coaches and counsels sales associates on their goals achievements and areas for improvement; partners with Human Resources and Sales Operations to attract retain and develop sales associates using all available resources
Works closely with sales associates in the analyses of sales activity and customer sales statistics in order to uncover any gaps between actual and expected performance; emphasizes the importance of investigating any specific business needs before taking action
Represents AmerisourceBergen at company and regional trade shows which will ultimately help sell the AmerisourceBergen solutions
Works with all appropriate internal personnel to effectively and efficiently transition new customers to the appropriate Sales Executive or Account Manager territory assignment
Provides comprehensive District and Assignment Reports on a monthly/weekly basis to regional segment VP; identifying gaps between actual and goal performance along with action plans to close the gaps
Must be willing to travel extensively (including overnight travel) as required to effectively manage geographic territory; also must travel to events such as conferences national and regional sales meetings as required
Requires broad training in fields such as business administration, accountancy, sales, marketing, computer sciences or similar vocations
Requires a four year bachelor’s degree program or equivalent combination of experience and education
Normally requires a minimum of five (5) years directly related and progressively responsible experience
Ability and commitment to identify opportunities to develop productive Sales Executive and Account Manager; ability to serve as a mentor and manager simultaneously
Strong knowledge of Healthcare Systems industries trends and challenges facing customers
Ability to develop forecast and own responsibility for strategic sales targets
Ability to work with Sales Executive to identify and prioritize sales leads
Excellent consultative selling skills and desire to continually develop/hone them
Excellent working knowledge of suite of ABDC programs and solutions that can offer increased customer value and enhance stickiness
Strong analytical and probing skills
Good understanding of value and profit

Director, Health Plan Operations Resume Examples & Samples

Participate in the development of budgets, metrics and staffing plans to ensure appropriate allocation of resources
Communicate responsibility at a broad level that includes high-level management with other functional areas and clients
Accountable for managing client expectations, developing client solutions, and ensuring the work performed meets or exceeds contract and service level obligations
Responsible for ensuring the Kansas City staffing plan is executed on and works with the Chief of Staff to ensure all requisitions and budget/forecast activities are in sync with corporate targets
Work cross functionally with functional leaders to ensure all financial targets, compliance with all applicable government regulations are met
Provides timely and accurate reports of all key performance and processing metrics
Encourages and fosters an environment of teamwork, communication, collaboration and readiness for change
Works with all levels of management to develop long-term plans, review processes, and implement departmental policies
A minimum 7-10 years of management experience in business management, planning and health plan operations
Must be an independent strong leader who can work cross functionally in a matrixed environment
Demonstrated knowledge and proven track record of successful health plan operations including enrollment and member services, utilization, claims processing, provider set up, and regulatory compliance implementation and adherence

Director Health Equity Resume Examples & Samples

Ability to effectively interact with multiple sectors (diverse populations, healthcare, state, local government organizations, community-based and faith-based organization)
Demonstrate critical thinking and ability to problem solve
High energy and ability to take initiative for success
Strong sales skills
Ability to recruit, direct, coach, and support volunteers
Working knowledge of system change principles
Ability to implement initiatives by engaging all key partners and constituents by influencing our partners as change agents for the association’s priorities
Ability to work occasional evenings and weekends
Knowledge of diverse populations and cultures and ability to implement culturally relevant programs
Demonstrated ability to work with minimal supervision; self-starter
Exceptional oral and written communications skills
Program evaluation experience
Knowledge of capacity building in the community
Intermediate computer skills in MS Office
Must be able to lift up to 20 pounds with our without reasonable accommodations. The expectation is that items in excess of 20 pounds would be broken down into smaller components or additional assistance is required before lifting
Satisfactory completion of background and reference checks upon offer of employment

Sales Director Health Systems Norway Resume Examples & Samples

Managing the Health System commercial and customer service organization in Norway to ensure that order intake, sales targets and profitability are met
Leading a team of one sales manager as well as several KAMs plus service operations
Responsible for creating and implementing the strategic and tactic plan in cooperation with business marketing management
Developing the business as well as being leading in transforming our business into a value adding solutions business
Developing and driving credibility and long term relationship with our customers
Providing of strong people leadership

Director, Health System Innovation Lead Resume Examples & Samples

Bachelor's Degree or Equivalent, MBA preferred
Minimum 10 years of pharmaceutical or biotechnology experience, with at least 3 of those years in U.S. market access or health system key account management preferred
Past experience in the biotech and specialty pharmaceuticals industry strongly preferred. Experience with injectable biologics is preferred
Exceptional presentation skills and the ability to present to large audiences
Ability to prioritize and manage complex projects, with multiple stakeholders, and drive results emphasizing quality
Extensive knowledge in multiple Managed Markets channels
Excellent understanding of basic finance, return on investment and profitability analysis
Experience networking and partnering with payers and provider groups; US payer experience a plus
Strong Data Driven leader; strong skills in developing and selling a value proposition
Experience in iterative innovation
Experience with and understanding EMR / Claims data, and hospital and delivery network environments to be able understand and develop innovative solutions to address barriers to adoption
Demonstrated ability to influence decisions at all levels included “C Suite” executive level experience and success
Experience and success in financial modelling, budget impact models, and other payor and outcomes analysis
Expertise in managed care market, pharmaceutical distribution channels, competitive trends and the impact on our key products
Demonstrated excellence in developing strategic operating plan development, business management, contract proposal development, negotiation and analysis
Demonstrated ability to work and collaborate effectively in a complex, matrixed commercial environment in partnership with other internal/external commercial stakeholders (sales, managed markets, market research, regulatory, medical affairs, global department, public relations, clinical development, etc.)
Proven track record of meeting tight deadlines and organizational skills to be productive in an environment of competing priorities—ability to multitask with multiple stakeholders while effectively prioritizing
Excellent communication, negotiating, and interpersonal skills for a wide variety of audiences including senior management required
Innovative leader with strong, demonstrated leadership skills (having an innate ability to lead a diverse and talented team of individuals towards a shared vision – focused on meeting the needs of our customers)
Demonstrated success in project, vendor, and budget management
Proven experience writing and presenting business plans
Ability to effectively use the Microsoft Office Suite of software
Willingness/ability to travel domestically. International travel may be required
Display solid ethics and a fit for UCB's core values and beliefs
Extensive negotiation skills with large complex customers
Demonstrated superior account management and project management practices
Excellent understanding of biopharmaceutical marketing processes
Excellent understanding of clinical and marketing information on UCB and competitor’s products
Demonstrated competence and understanding of the U.S. payer landscape
Demonstrated knowledge of managed markets, pharmaceutical distribution channels, competitive trends and the impact on UCB key products
Demonstrated competence of account management and project management practices
Demonstrated competence of business planning and tactical plan development and execution
Established proficiency of basic finance, return on investment and profitability analysis
Demonstrated effective interpersonal skills and flexibility to meet customer demands
Demonstrated understanding and adherence to all applicable compliance and regulatory requirements
Very high level of self-starting thinking required due to the challenge of developing strategic input for the brand
In-depth understanding of marketing planning – life cycles and life cycle planning
Ability to work independently and make decisions with occasional consultation from supervisors
Ability to generate, analyze and quantify options in order to identify appropriate solutions
Ability to catalyze team problem solving thought processes
Management responsibility of broad operational plans and budgets, with and without direct authority
Strong ability to manage, motivate and lead others
Strong creative skills
Responsible, flexible and accountable with a proactive approach and ability to work to deadlines
Project management, including resource allocation and fiscal management

Associate Director, Health Services Resume Examples & Samples

Bachelor Degree in Nursing or Social Work
A minimum of 5+ years management experience
5+ years of experience in development and execution of clinical programs in public sector managed care (Medicare and Medicaid) environment

Director, Health Services Resume Examples & Samples

Bachelors degree in Science or Business required; Masters degree preferred
8+ years clinical practice experience
8+ years working in Medicaid / Medicare health care and insurance industry, including regulatory and compliance requirements
6+ years demonstrated leadership and team management / development skills

Field Director, Health Policy & Reimbursement Resume Examples & Samples

Lead the health policy and reimbursement manager team in developing and executing Account Plans in cooperation with relevant functions (Sales, Marketing, Access, and Pricing)
Incorporate knowledge of dynamic and complex marketplace and business trends to ensure health policy and reimbursement team is able to deliver maximum access to the portfolio of Sun products
Monitor key regional Medicare and Medicaid communications on coverage, coding and payment policy and potential policy changes
Develop and maintain a relevant network of regional decision makers like Carrier Advisory Committee Members, State Society Officers, and key stakeholders responsible for health policy, reimbursement, and quality
Effectively communicate key legislative and health policy updates to the field sales leadership and key external stakeholders
Possess expertise in Medicare policies including building relationships with Medicare Administrative Contractors
Ensure team is able to anticipate changing payer landscape by demonstrating a deep understanding and knowledge of emerging trends that can impact access for Sun’s branded products and pipeline
Prioritize team efforts across stakeholders to maximize opportunities, share customer insights and aid the team in obtaining and allocating resources
Provide inspirational leadership to the health policy and reimbursement manager field team
Hold team accountable for results and reinforce appropriate customer focused behaviors
Ensure processes are in place to drive clear communication with sales leadership to ensure clarity of reimbursement issues and opportunities and support pull-through efforts
Strategic and appropriate management of the operating budget
Ensure team operates consistent with Healthcare Compliance guidelines
Development and management of six direct reports

Director, Health Systems Marketing Resume Examples & Samples

Design, create and develop Health Systems strategy for assigned TA. Collaborate with other Directors of Health Systems channel marketing to align financial analysis and recommendations with Health Systems strategy for all Health Systems within assigned key therapeutic areas of interest
Ensure that department goals are aligned with PM Management's goals and priorities. Ensure development and effective implementation of TA objectives and strategies focused on Health Systems. Oversee development of tactical plans (sales/promotional tools, convention/symposia, PR/media, web strategy, market research, launch planning etc.) to ensure attainment of annual goals
Execution of OCG related tactics across all portfolios of products within the assigned sales Zone for KAM/HSS and RAEs. Continuous review of TA and market performance (zone), competitive intelligence, field force capacity and needs, market research to identify key growth opportunities and hurdles facing the Zone; ensure development of appropriate action and contingency plans. Continuously look to identify process improvements and other efficiencies within the function and lead the implementation of identified improvements
Create Health Systems Value Proposition: Ensure field input goes into the VP creation. Collaborate with peer Health Systems channel directors for other zones to ensure consistent execution of the Value Proposition in other zones
Design, create and drive unbranded Health Systems material for Therapeutic area. Ensure clear communication and aligned execution of Therapeutic area strategies and tactics. Represent the Therapeutic area with internal (including MLR, brand teams and MLT) and external (OCGs) stakeholders
Member of assigned zone leadership team. Drive business with zone leadership by creating and executing plans that drive the strategies for Health Systems. Provide key Health Systems knowledge and expertise to the zone and help drive sales through Health Systems. Collaborate with peer Health Systems channel directors for other TAs to ensure consistent execution of the Value Proposition for other Therapy Areas
Create and execute pull through strategy for assigned Population Health initiative. Example of possible Population Health initiatives are Adherence & Patient Engagement, Transitions of Care Strategy and Provider Enablement & Precision Medicine or other population health initiatives as assigned by manager
Provide Health Systems level Insights that help drive strategy for both zone level sales and therapeutic area direction
Ensures that the team is staffed with qualified, highly motivated talent. Inspires ownership, accountability, initiative, and engagement within the entire team by regularly communicating BI's vision, business objectives, performance outcomes, and future action steps. Actively develops people within their organization, and supports learning opportunities and encourages others to own their careers and take full advantage of BI career development offerings. Drives performance management of all personnel including all disciplinary action to ensure personnel are meeting or exceeding expectations in their roles. Accountable for ensuring team members optimize the effectiveness of the account team and other customer facing teams
Manage budget for the Health Systems Channel for the TA and for the Zone
Partner with OCC team on longer term collaborations and serve as key member of the group that drives the collaborations
Knowledge and/or exposure to Health Systems, Management Markets or Marketing
LI-MF1

Director, Health Advisory Risk Consulting Resume Examples & Samples

Assessing compliance risks and controls
Developing and implementing compliance supervisory and control solutions
Assisting with responses or remediation associated with regulatory actions
Leveraging project management skills, emphasizing leading and facilitating teams and developing client proposals
Advising clients or senior management on compliance issues, regulatory interpretation, assessing compliance risk and controls, implementation compliance monitoring and controls
Driving and directing multiple, complex projects with medium-to-large staff teams
Leading teams to generate a vision, establish direction and motivate members, create an atmosphere of trust, leverage diverse views, coach staff, and encourage improvement and innovation; and,
Creating a positive environment by monitoring workloads of the team while meeting client expectations and respecting the work-life quality of team members; providing candid, meaningful feedback in a timely manner; and keeping leadership informed of progress and issues

Associate Director Health Services Resume Examples & Samples

Implementation and oversight of all clinical management functions for individuals receiving LTSS services, including but not limited to: Assessment, service planning, care coordination, transition planning, consumer hearings, participant and caregiver education and training
Implementation and oversight of all provider management functions for providers of HCBS services including, but not limited to: Provider enrollment, orientation and monitoring
Operation of an incident management, investigation and response system
Implementation and oversight of all program management functions, including but not limited to: Compliance with program requirements, rules and regulations, implementation of and management of program policies and procedures and protocols that are aligned with federal and state requirements, customer complaint process and community education
VA Licensed Nurse LISW
Bachelors Degree Required- Masters degree in a health-related field Preferred
Director must have at least 5 years of experience in home and community-based services

Director, Health Management Resume Examples & Samples

Design of wellness programs
Creation and preparation of communication materials for internal and external use
Participation in client meetings and prospect capabilities presentations
Creation of innovative client solutions
Marketing for best solutions to meet client Health/Wellbeing needs
Integration of the company Health/Wellbeing vision into all client projects
Managing costs
Assisting branches with claims data analysis and proving recommendations
Producing accurate, high impact wellness reporting
Develops solutions based on subject expertise and occasionally represents the department or function at a broader level
Interprets internal or external business issues and recommends solutions/best practices
May provide guidance to lower level staff, but has no formal supervisory responsibility
5 years experience in Health/Wellness field
Experience working with employee Benefits, Wellness Vendors, and Health Insurance Carriers
Willingness/ability to travel domestically

Senior Director, Health Systems Resume Examples & Samples

Serve as senior leader in the Program department to advance key strategic priorities, including the Health Care System outreach, and professional and health care provider education and outreach
Work closely with the Medical and Scientific and Public Policy departments, along with chapters, to determine and implement high-impact and resource efficient methods and initiatives to enhance care to persons with dementia or the engagement of individuals in key objectives. These may include translation of research findings to consumer tools, product development, and/or professional training in acute care settings, primary care settings, and other health care settings to be defined, as well as selection of model care practices for collaboration and Association partnership with chapters and/or other organizations
Provide leadership and management for health care provider outreach strategies, inclusive of working with Area, Regional, and Chapter leadership to impact physician outreach strategies
Build relationships with organizations, associations, and industries to provide background and leadership on the Association’s programs and key objectives
Collaborate with senior management and Association chapters to refine Association’s nationwide involvement in Quality Improvement Initiatives
Leads the pursuit of new opportunities, manages and cultivates relationships, and drives involvement of health system accounts to achieve Alzheimer’s Association efforts
Promotes the adoption and implementation of Alzheimer’s Association programs, and develops evidence-based strategies designed to have broad population impact on increasing diagnosis rates of Alzheimer’s disease and related dementias
Enables the strategy and collaboration with Primary Care System executives to increase market penetration, and engagement of their organizations
Ensures goal achievement through the effective leadership and management of diverse staff, and the engagement and mobilization of volunteers
Responsible for overseeing the strategy development of relationship management for primary care systems including primary care associations, and Community-based entities such as health center networks, health worker networks, Community health representatives like Native American and tribal health, primary care systems via FQHCs (Federally Qualified Health Care Centers) and other key systems for the Chapters
Aligns prioritized primary care system affinities and needs with Alzheimer’s Association program of work to achieve individual program performance metrics, support enterprise goals, and to further our impact to mission programs and services
Works with leadership and staff to target FQHCs (Federally Qualified Health Care Centers), primary care associations, and community health center and worker networks serving underserved communities, including physician education forums and other community events to engage constituents in the Alzheimer’s Association program of work related strategies
Develops strategy for prioritized primary care partners and assesses the competitive environment for prioritized primary care partnerships. Promotes the adoption and implementation of an aggressive agenda of Alzheimer’s disease control policies, practices and programs with prioritized primary care systems
Responsible for successful implementation of the program of work leading to achievement of mission outcomes
Implements products and programs to support science and evidence based strategies for diagnosing Alzheimer’s disease and mortality, for use within priority primary care systems
Makes introductions and recommendations for beneficial alliances and partnership opportunities for the Association and among our prioritized primary care system partners

Director, Health & Public Policy Resume Examples & Samples

Baccalaureate degree in social work, public administration, public health or a related field required; Masters degree preferred
Three years’ experience in a leadership/management position in human services or other related field required
Equivalent combination of work experience and/or education may substitute for advanced degree
Excellent oral and written communication skills including clear, concise and accurate written documents and well-developed computer skills required
Demonstrated successful grant writing ability required
Experience directing and managing multiple projects and budgets required
Prior experience supervising staff required
Demonstrated knowledge of the political process and ability to analyze approved and proposed legislation required
Demonstrated ability to tactfully handle stressful situations, negotiate and resolve conflicts, maintain confidentiality and to respect and observe organizational protocol
Ability to travel to work in a variety of locations throughout the metropolitan Tucson area and other parts of the State when required and to lift up to 30 pounds
Ability to establish and maintain effective working relationships with United Way staff at all levels, volunteers from diverse backgrounds, state and local government and philanthropic organizations, donors, community partners, and independent contractors

Senior Medical Director, Health Plan Resume Examples & Samples

Assists in recruitment, hiring and training of staff as needed
Analyzes data and identifies medical cost savings and quality improvement opportunities
Accounts for regulatory and accreditation performance of assigned team and responds to inquiries, issues and complaints from government and accreditation regulators
Directs the team in providing physician leadership and expertise in the performance of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities
Ensures that authorization decisions are rendered by qualified medical personnel, without hindrance due to fiscal or administrative incentives
Responsible for clinical oversight of the Risk Adjustment Program. Provides leadership and participates in risk meetings as an active member of the team, to discuss policy, strategy, implementation, administration, goals, progress, and improvements of the risk program. Promotes risk programs to meet all regulatory requirements
Assists in setting goals and plan of Risk Adjustment program (in conjunction with Chief Medical Officer & VP of Finance and Analytics)
Responsible for education of provider groups on all clinical aspects of risk adjustment including completion of ACE forms, proper coding, evaluation and management of chronic conditions, and identification and documentation of all risk adjustable conditions both historical and existing but not yet identified

Director, Health Plan Operations Resume Examples & Samples

Oversees and provides leadership for the Plan's Provider Inquiry function. Responsible for the submission, research, and resolution of provider inquiries and/or disputes. Ensures resolutions are compliant
Proactively assesses and audits business processes to determine those most effective and efficient at resolving provider problems
Serves as primary interface with Corporate Claims and Configuration counterparts and ensures standard processes are implemented
Oversees preparation of narratives, graphs, flowcharts, etc. to be used for committee presentations, audits and internal/external reports; oversees necessary correspondence in accordance with regulatory requirements
Maintains call tracking system and database of correspondence and outcomes for provider inquiries/disputes; oversees monitoring of each provider submission/resolution to ensure all internal and regulatory timelines are met
6 years experience in healthcare claims review and/or provider inquiry/dispute processing and resolution, including 2 years in a manager role
Experience reviewing all types of medical claims, e.g. HCFA 1500, Outpatient/Inpatient UB92, Universal Claims, Stop Loss, Surgery, and Anesthesia, high dollar complicated claims, COB and DRG/RCC pricing

Director, Health Engagement Resume Examples & Samples

Collaborate to create compelling on-site health and wellness offerings and events and proactive communication
Develop employee events to drive continuous engagement in health and wellness programs including clinical programs such as flu shots, health risk assessments and biometric screenings
Partner with theme park wellness/health engagement teams on projects and shared resources
Primary contact for Comcast Cable-West Division/NBCU-West Coast to drive engagement on existing programs and to develop pilots
Work with other business areas including Health Services' on-site clinics and the on-site child care center to continually optimize performance, communicate learnings, and provide status updates to stakeholders
Proven track record of driving strategy for health engagement and successfully hitting targets
Strong program management expertise in areas of health, wellness and work-life management, with a proven track record of delivering results, assessing complex problems, overcoming obstacles, achieving key milestones, and driving implementation success. Will have primary responsibility for a number of these programs
Collaborate cross-functionally with external partners and vendors to implement dynamic, leading-edge health engagement and build loyalty and community
High degree of organizational astuteness, executive presence and ability to successfully navigate complex organizational dynamics
Demonstrated track record of success in collaborating, influencing, and building strong relationships at all organizational levels and across multiple business areas
Very strong communication and presentation delivery skills, with the ability to influence decision-makers to think creatively about employee-related approaches
Ability to effectively prioritize and balance multiple priorities and projects; highly organized
Highly adaptable and able to handle ambiguous situations, shifting priorities, and evolving direction
Emotional maturity to handle escalated, high profile situations
Experience in vendor management, negotiations, and evaluation
Ability to plan and facilitate effective, productive meetings/workgroups of varying size

Associate Director, Health Policy Resume Examples & Samples

Analyzes, prioritizes, and socializes key policy issues that may have short and long-term impacts on UCB and the biopharmaceutical industry. This role is also responsible for
Helps translate policy developments into meaningful direction and strategic advice to various levels of stakeholders within and outside of the company. This role is responsible for
Develops policy positions on priority issues in partnership with leadership from across the global organization
Acts as key interface with priority federal government agencies/organizations (such as HHS, CMS), and leads partnership efforts with external stakeholders including trade associations, think tanks, and other influencers
Collaborates with internal cross-functional teams as well as federal and state Government Relations and Advocacy teams
Bachelor’s degree required; advanced degree (MS, MPH, MPP, JD or MSc) is strongly preferred
Minimum of 5 years of healthcare experience (examples include key government agencies such as HHS, CMS, CBO, OMB, or FDA; White House, Congressional, State Administrative or Legislative staff; healthcare consulting firms; pharmaceutical, biotechnology, managed care or other healthcare industries; or patient, provider, or trade associations). Having payer or provider experience is a plus
Exceptional understanding of and experience in Medicare (Part A, Part B, Part C, and Part D), Medicaid, the Affordable Care Act, and private coverage and payment policies
Advanced understanding of federal and state policymaking processes, federal regulatory bodies that monitor and implement health programs, healthcare policy development and the healthcare ecosystem
Possesses superior problem-solving, analytical and multi-tasking abilities, as well as excellent communications, presentation, collaboration and management skills
A solid understanding of public payer (Medicare, Medicaid, VA, DoD, and 340B programs) programs and policies is strongly preferred, including knowledge of Government price calculations and compliance regulations
Proficiency with current biopharmaceutical sales, contracting, and reporting systems (for example, Contracts and Rebates Systems) are also preferred

Associate Director, Health Systems Marketing Resume Examples & Samples

Develop strategies and tactics to launch new products specifically within the managed care arena
Conduct research in coordination with cross functional teams to assist in creating launch strategies for new products
Interface with global or regional brand marketing to ensure brand objectives, strategies and tactics translate over to managed market customers and support appropriate copy approval process
Track and trend ROI, targeting, formulary status and pull-through program effectiveness through various IT and data resources to further refine rebate strategy and effectiveness
Attend various managed market and relevant therapeutic association meetings and conventions to stay current on market trends,clinical developments and treatment guidelines
Implements organizational product strategies and tactics within current customer environment
Establishes strong relationships with customers, key influencers, peers, other cross-functional team members
Overcomes barriers to establish successful relationships
Uses interactive, conversational communication style to build effective relationships
Is reputed to be honest, credible, reliable and trustworthy
Treats others with dignity and respect
Facilitates effective teamwork between sales teams
8 – 10 years total Health care related experience

Assistant Director, Health Care Admin Resume Examples & Samples

PharmD degree from a fully accredited college or university, or equivalent degree with applicable practice experience
Previous experience developing clinical program protocols and standard operating procedures
Prior MTM experience
Experience leading pharmacy teams
Previous teaching and training program development experience
Strong clinical therapeutic skills, including geriatric or ambulatory care certification
Expertise in healthcare quality measurement
Self-directed and excellent organizational skills
Ability to manage multiple people and priorities simultaneously
Demonstrated understanding of the pharmacist's clinical role in the care of Medicare and Medicaid patients
Experience providing client relations and account management for clinical services
Demonstrated understanding of all aspects of Medicare benefits
Demonstrated proficiency in using and pronouncing common medical and pharmacy terms correctly
High energy, mature, and comfortable working with all levels of professionals, students and patients

Associate Director Health Services Resume Examples & Samples

Reviews utilization and compliance metrics to evaluate the service manager and service coordinator competency program
Adjusts caseload assignments as the staff demonstrates competency in the service management/service coordinator role
Provides coaching and collaboratively establishes development plans with service managers and service coordinators and incorporates into their annual performance evaluation
Conducts member case file audits (chart audits) to monitor individual service manager performance and department trends and meets regularly to review audit results; identifies opportunities for additional training and remediation of any findings of inconsistency
Monitors visit compliance reporting/tracking to confirm contacts are not missed or undocumented
Directs the development of well-designed processes focused on pediatric special needs programs that, when fully implemented, will be evident in daily work flows that are efficient and support the achievement of the health services goals
Directs the integration of the local quality assurance committee activities into clinical practice
Conducts regular meetings with staff to address issues and concerns, and to communicate corporate and site-specific philosophy
Oversees integrity of the patient database system to verify consistency/accuracy of the data entry
Coordinates plans with the local and national quality committee to comply with regulations and accreditation agencies
Implements initiatives to meet the needs of special needs members and confirm contract compliance
Strategizes and evaluates methodologies for program adaptation and integration within partnering organizations
Conducts regular agenda-driven meetings with selected partners to promote program visibility and supports a dynamic relationship with selected organizations
Directs the development of results-oriented relationships with contracted facilities and providers
Directs the orientation, training and ongoing education and skill development of the health services and service coordination staff
Participates in and leads special project groups that provide skill-building opportunities for the participants and allows other participants to display leadership capabilities
Five or more years of management experience
Two or more years of experience in case management
Five or more years of pediatric experience
Two or more years of Special Needs experience
Preferred experience with MDCP and Texas State Special Needs Waivers
Preferred STAR Kids experience

Director, Health Policy & Reimbursement Resume Examples & Samples

Minimum: 10 years’ directly related experience
Preferred: 5 years agency experience and/or commercial insurance sector
Ability to influence others in constructive, collegial manner
Awareness of US health policy environment and payment policy & reform

Director Health Policy Resume Examples & Samples

Determines and recommends strategies for the development of federal and state legislative policies that achieve Highmark support and provide for influencing members of Congress, their staffs, Administration officials, and congressional committees and government agency staff. Assists the VP, Government Affairs, with the prioritization of issues and leads or completes the production of analyses and materials required for representation
Assists in the planning and implementation of strategies for the development of Highmark policy on state legislative issues and model acts under development by the National Association of Insurance Commissioners (NAIC), assuring that strategies correlate state legislative policy with federal policy and represent Highmark positions with AHIP and BCBSA
Assures that Highmark policy positions are set forth in public debates in a persuasive manner (e.g. testimony, one-pagers, pamphlets, etc). Oversees the creation of communications that advance the objectives of Highmark and affiliates companies and provide information/reports related to legislative activities to legislators and other interested parties
Works closely with Highmark government affairs professionals (lobbyists) to ensure the coordination of activities and continued monitoring/assessment of issues, positions and potential project needs. Assists in the planning and deployment of federal and state lobbying activities with executive branch employees and other health-related organizations to shape regulations effectively and to positively influence individuals and outcomes on Highmark policy positions
Develops and maintains an effective intelligence and communication network with other health policy organizations in the federal and state government, universities, and organizations involved in health policy development or advocacy

Director, Health Technology Partnerships Resume Examples & Samples

Open doors with potential technology partners, lead exploratory talks, build consensus with senior executives internal and external to J&J, and negotiate complex, foundational partnerships that are often the first-of-their-kind
Manage partnerships over time to deliver results and build strong long-term relationships
Identify and prioritize technology partner targets; become an expert on each potential partner’s organization, business model and strategic priorities
Build and nurture strong relationships across the technology ecosystem, working directly with some partners and through “one-to-many” models to reach large partner ecosystems
Serve as ongoing relationship manager for the partnerships you complete, helping to realize and optimize value from the partnership
A minimum of 5 years of hands-on partnerships/business development and partner management experience with a technology company is required
A proven Track record of bringing innovative technology partnerships to market is required
Extensive professional relationships across technology ecosystem is required
Strong negotiator but with a partner-friendly approach; ability to represent J&J in agreement discussions and structure terms to achieve strong ongoing partner alignment is required
Ability to interpret legal documents and work with attorneys on specific contract language is required
Technical skills and strong technology product sensibilities is preferred
Health technology experience is preferred.5471170321

Finance Director, Health Systems Resume Examples & Samples

Budgeting and forecasting background
Ability to manipulate and analyze financial models
Understanding of core accounting concepts (GAAP)
Highly motivated self-starter; ability to initiate and manage projects with minimal supervision in a fast-paced environment
Excellent communication and interpersonal skills with prior experience managing relationships at the highest levels of the organization
Excellent consultative skills to support various stakeholders
Comfortable working with ambiguity
Proven effectiveness in leading strategic projects
Ability to navigate complex and matrixed organization structures
Strong presentation skills and executive presence
Healthcare background strongly preferred
Exposure to health systems strongly preferred

Director, Health Plan Quality BR Resume Examples & Samples

8-10 years clinical leadership
8-10 years HEDIS Experience
8-10 year NCQA experience

Director, Health Mart Marketing Resume Examples & Samples

Leads major initiatives: Establishes operational objectives and assignments, and delegates assignments to subordinates, consultants and partners. Objectives are reviewed by senior management to determine success of operation. In some instances this manager may be responsible for managing a virtual team and may not have subordinates but work with broad range of business partners. Makes final decisions on administrative or operational matters and ensures effective achievement of operation(s) objectives. Requires the ability to change the thinking of, or gain acceptance of, others in sensitive situations
Market and field feedback: Oversees market research, monitors competitive activity, and identifies customer needs. Requires the ability to analyze market data to identify trends/opportunities, develop strategic direction from market information, and create compelling market analysis presentations. Exercises independent judgment in developing methods, techniques, and evaluation criterion for obtaining results
Product and business development: Responsible for directing the development of company market requirements for specific product(s) or product line(s). Monitors the development of business plans, managing lifecycles, contracting and product positioning in the market place. Establishes pricing strategies. Interfaces with partners, and sales to develop new products or enhance existing product(s) or product line(s). Activities may include sales support, product advertising/promotion, planning, developing and implementing multiple channel programs
Experience leading a team, developing multiple web or app-based products at one time
Must have people management experience cross-business unit partners to develop, pilot, refine, implement and drive program penetration with customer base
Strong influencing skills with the ability to Write and present to Executives and gain buy in on products
Strong ability to analyze market data to identify trends/opportunities
Track record of program management as well the proven ability to overcome obstacles to driving program development and implementation
Sales team support and training on new programs, as well as development of sales collateral and training material
20-30% travel to include interaction with customers/sales
Healthcare industry knowledge
Product management skills and best practices
Advanced knowledge of company's products
Strong communication skills: business writing, collateral development, phone, presentations, customer outreach and research
Enjoys building strong inter-department relationships
Microsoft Office suite (Word, Excel, PowerPoint)
High level of coordination and attention to detail in developing and maintaining work plans for 5-10 projects

Associate Director, Health Services Resume Examples & Samples

Executes the delivery of all Clinical Programs Case Management / Service Coordination and Disease Management within areas of responsibility for the Health Plans
Ensures local service coordination processes, policies and procedures meet regulatory / NCQA / CMS standards and are consistent with the national clinical model
Ensures monitoring and oversight of clinical programs / staff to meet defined goals / targets, contract requirements
Works collaboratively with providers, sister-segments, service contractors and health plan management to oversee the management of a health services department with the objectives of improving the quality of care delivered to members in a range of products, i.e., Medicaid, SSI / ABD, long term care, and dually eligible categories, improving cost efficiencies, and developing an environment of operational excellence
Develops, translates and executes strategies or functional/operational objectives for Health Plan including medical management, financial accountability, customer and Provider satisfaction, quality improvements
Experience with Medicaid / Medicare populations, including LTC and Behavior Health background
Experience in development and execution of clinical programs in managed care environment
Experience in Utilization Management (acute and/or HCBS)
Experience as a leader with responsibility for leadership development

Director Health Services Resume Examples & Samples

Recruit, lead, mentor, and provide guidance to Associates
Develop strategic initiatives to improve quality, expense, and performance measures
Implement performance improvement plans to address variances
Participates and upholds policy development and review
Align and motivate key process stakeholders, participate in committees related to workflow, quality, compliance and clinical practice
Engage with key external stakeholders that provide services and support to CPHP and/or CPHP members as needed
Interface and collaborate with other clinical and quality service areas of Humana to promote and preserve CPHP’s clinical program integrity and expansion
Other duties as assigned by the Chief Medical Officer
Bachelor’s Degree (BA/BS) and/or equivalent (Health Care Administration) required
Valid RN/LPN licensed in the State of Florida required
CM certification required
Strong organizational skills and analytic background required
5 years of managed care experience minimum required
5 years of Leadership experience required
Active Florida Driver’s License required
Concurrent review experience preferred
Intermediate computer skills (MS Word, Excel, Power Point, and medical related software) required
Overall knowledge of Medicare Standards and regulations required
Interpersonal and communications skills required
Customer Service skills required

Director Health Promotion Resume Examples & Samples

Minimum of a master’s degree in health education, public health, counseling, social work, higher education administration or a related field
A minimum of 5 years full-time professional experience with evidence of increasing levels of responsibilities including budgetary responsibilities and supervision of professional staff
Established record of familiarity for the areas under the umbrella of health promotion and education
Previous experience planning, organizing, leading and evaluating performance and outcome measures of programs and services and managing complex budgets
Experience in employing data-driven approaches toward generating measurable (quantitative and qualitative) outcomes
Possess a deep understanding of a diverse student body and a demonstrated commitment to diversity and cross-cultural issues
Highly developed writing, editing, digital, and presentation skills
Knowledge of Deaf Culture, American Sign Language or willingness to learn

Director, Health Plans Resume Examples & Samples

Participate in the overall definition and leadership of the Health Plan portfolio, and contribute as a leader in the business unit
Drive top-line and delivered revenue for the Health Sciences business unit, meeting annual revenue, margin and utilization targets as established for the Health Plan strategy team
Develop the business plan for Health Plans with input from Health Sciences leadership and execute against the agreed upon plan; support the business unit objectives overall
Lead, manage, cultivate and grow a team of highly functioning Health Plan consultants, providing mentorship to less experienced team members. Serve as a career counselor and positive role model for others
Serve as a key participant in the business development process, facilitating pre-sales discussions with the client, producing presentations and presenting during formal sales presentations, instilling confidence in Perficient’s skills and ability to deliver
Serve as the senior delivery resource for consulting engagements, ensuring deliverables are of the highest quality to promote client satisfaction
Develop strong client relationships at all levels – executive, management and staff, demonstrating the ability to adapt to different client situations and individuals and facilitate a variety of client discussions (i.e. workshops, design reviews, etc.)
Provide consultative solution selling throughout the pursuit process working closely with the business developer, broader pursuit team, and the client; develop solution concepts and estimate the effort / resource requirements to support a successful delivery; prepare proposals, statements of work, and PGM’s for review and approval by Health Sciences leadership
Participate during the contract negotiation process
Assist in recruiting and efforts to retain our employees
Build and leverage informal networks across the greater Perficient organization
Participate as an active member on internal Perficient initiatives, and ensure regular personal and team contributions to Perficient marketing and thought leadership activities
Provide regular status reporting to immediate supervisor and General Manager of Health Sciences
10-15 years of healthcare plan experience, across health insurance business domains, preferably in an executive or director role
10-15 years managing a team of Healthcare payer delivery consultants for a professional services organization
Excellent experience with claims processing, utilization management, and operational knowledge of health plans
Knowledge of typical applications used in the operations of a health plan, worked closely with IT staff or technical background
Great presentation skills and consulting experience, ability to think on their feet
Experience with a large health plan (20,000+ members) preferred
Record of managing key initiatives within the employed organizations, leadership skills
Strong understanding of the professional services industry, including technical services, systems integration, and strategic business solutions
Experience selling and delivering full lifecycle solution development engagements for enterprise initiatives with gross fees in excess of $1M
Strong client relationship management skills
Comfortable facilitating interactions and discussions with “C” level executives
Experience managing the proposal process and pursuit teams in a consultative, solution
Based sales model
Ability to present proposal solutions to all levels of client management
Ability to articulate complex issues, thought leadership, and the business value of
Solutions
Experience with accurate project estimation and planning
Proven risk management, issue resolution and change control experience
Proven management, leadership and mentoring skills
Prior experience leading, managing and developing a management consulting delivery team
Proven ability to meet topline and delivered revenue quotas

Director, Health Program Resume Examples & Samples

Lead development of interventions and support field implementation of site specific remediation and improvement plans throughout GHI programs
Engage and support field offices to utilize program and patient related data and information to improve outcomes, inform policy and practice
Develop and institutionalize Continuous Quality Improvement initiatives in all field offices and work tirelessly to engage country leadership to adopt a culture of evidence driven program implementation
Work with the Director for Global Health to develop models and interventions for collaborative care and learning healthcare networks and integrated service delivery, support its piloting and scale-up
Actively contribute in developing new programs through proposal writing and new program design and start up
Directly support full implementation of specific programs and/or countries as assigned by the Director for Global Health
Develop practical tools to guide field programs in implementation of Health Care Improvement initiatives
Develop and implement a strategy for performance benchmarking across field offices and programs
Develop an in-house training and mentorship program to enhance field office employees in the technical care areas of health care improvement. This will among other things include the science of improvement methodology
Performs other duties assigned
5 years experience working in an appropriate field with at least 2 years experience of overall responsibility for program direction, coordination and implementation
Possesses a thorough knowledge of position requirements and able to perform position in compliance with all requirements/regulations/laws. Ability to maintain high standards with the work being performed and maintain awareness with trends and influences
Skill in supervising, mentoring, and teambuilding in order to provide guidance and instruction to others. Ability to take a lead role in performing and directing various advanced, routine and maintenance procedures. Ability to exercise the initiative and resourcefulness necessary for prioritizing multiple and ongoing projects
Assumes personal responsibility for all outcomes; makes effective and timely decisions; and learns how to effectively use technology. Skill in data manipulation and analysis with an ability to solve problems and make sound judgements. Skill in continuously seeking to improve the quality of services and processes
Ability to effectively communicate both verbal and written thoughts, ideas, and facts. Writes and presents information in a clear and concise way. Interprets and understands written information and is able to listen attentively to verbal and non-verbal cues that lead to a deeper understanding
Ability to work cooperatively with others and demonstrates professional, ethical, respectful, and courteous behavior when interacting with others. Demonstrate pleasant and positive interactions with other to meet customer expectations, and provide follow up with customers. Reaches compromise and consensus to influence and negotiate. Remains calm and is able to manage conflict, and works well with a diverse workforce. Approachable style allows others to be open in sharing thoughts and ideas

Senior Director, Health Systems Resume Examples & Samples

Work closely with the Medical and Scientific and Public Policy departments, along with chapters, to determine and implement high-impact and resource efficient methods and initiatives to enhance care to persons with dementia or the engagement of individuals in key objectives.Â These may include translation of research findings to consumer tools, product development, and/or professional training in acute care settings, primary care settings, and other health care settings to be defined, as well as selection of model care practices for collaboration and Association partnership with chapters and/or other organizations
Build relationships with organizations, associations, and industries to provide background and leadership on the Association's programs and key objectives.Â Â
Collaborate with senior management and Association chapters to refine Association's nationwide involvement in Quality Improvement Initiatives
Leads the pursuit of new opportunities, manages and cultivates relationships, and drives involvement of health system accounts to achieve Alzheimer's Association efforts
Promotes the adoption and implementation of Alzheimer's Association programs, and develops evidence-based strategies designed to have broad population impact on increasing diagnosis rates of Alzheimer's disease and related dementias
Aligns prioritized primary care system affinities and needs with Alzheimer's Association program of work to achieve individual program performance metrics, support enterprise goals, and to further our impact to mission programs and services
WorksÂ with leadership and staff to target FQHCs (Federally Qualified Health Care Centers), primary care associations, and community health center and worker networks serving underserved communities, including physician education forums and other community events to engage constituents in the Alzheimer's Association program of work related strategies
Develops strategy for prioritized primary care partners and assesses the competitive environment for prioritized primary care partnerships. Promotes the adoption and implementation of an aggressive agenda of Alzheimer's disease control policies, practices and programs with prioritized primary care systems
Implements products and programs to support science and evidence based strategies for diagnosing Alzheimer's disease and mortality, for use within priority primary care systems

Senior Director Health Policy Resume Examples & Samples

Maximize U.S. Reimbursement Opportunities for Roche Products with Public Payers and lead reimbursement activities on cross-functional, Global, GNE teams such that early engagement with US Reimbursement occurs
Educate internal and external customers on upcoming changes to reimbursement while working to expand opportunities for Roche products in the U.S. Constantly monitor, identify and communicate new governmental funding opportunities for Roche
Lead Federal Health Policy Strategies Support and Roche senior staff with appropriate briefings and communications, contributing to comprehensive decision-making with respect to Roche health policy priorities in the US
Identify, communicate and coordinate proposed, pending and actual federal health legislative and regulatory policies which may impact the use and/or reimbursement of Roche products. Educate and regularly interface with Roche business areas and Global colleagues to explain current health care environment that might or will impact our products. Develop preferred strategies for Roche to pursue with respect to regulatory and reimbursement issues impacting our products
Communicate and deliver consistent Roche messaging regarding personalized medicine and the unique lead role Roche leads in this arena
Work closely with leaders to develop federal public policy positions by combining technical, clinical, regulatory and political factors into a seamless strategic approach

Director Health Data Policy Resume Examples & Samples

Lead Novartis policy development on health data, resulting in high-impact Novartis positions, sound facts-base and expertize
Monitor fast evolving environment for health data
Develop policy proposals on key priorities, such as

Program Director, Health & Human Services Resume Examples & Samples

Budget Management -Monitor the program area budget and assure good financial decision making and program fiscal integrity
Perform Human Resources and Staff Development Responsibilities -Responsible for hiring program coordinators and assist in hiring administrative staff; assist in hiring of instructors for program area; provide needed training to staff to work as efficiently and effectively as possible
Program Development -Research, analyze and manage specific program area which may include offering individualized instruction, contract training, open enrollment, special events, lectures, online courses and workshops
Marketing and Prospecting -Build marketing plans for specific program area; create prospecting lists; network and build relationships within the business community
Meet Established Metrics and Goals -Monitor enrollment numbers and revenue monthly; Strategize and analyze plans to fulfill designated program goals
Baccalaureate degree in Nursing required
Master's Degree required
Must be able to maintain all processes related to the state Continuing Education Regulations to protect and preserve approved status
Must know specifics of Nurse Practice Act in the state of Kansas
Strong knowledge of the local economy
Demonstrates strong analytical, problem solving skills
Proven management and communications skills as demonstrated in the creation of high performing teams and establishing business relationships within the community
Strong negotiation experience handling client, vendor and consultant contracts and relations
Hires, trains, and supervises assigned staff
Demonstrates ability to build coalitions within a college community and to work collaboratively with community partners, such as educational institutions, community-based organizations, businesses, and government agencies
Ability to work in partnership with private and government sectors
Develops and creates an environment of exceptional customer service by utilizing industry best practices
Creates, maintains and provides metrics to monitor and measure client satisfaction levels
Demonstrates a commitment to continuous learning through advanced degree/certification completion and/or training and development
Minimum of 3 years in clinical nursing experience
1 year experience in developing and implementing nursing education
2 years supervisory experience
2 years continuing education experience: working with adult learners; consulting; and or teaching
Strong project management and Instructor/Faculty management experience
2 years community college experience
Budget management experience

Executive Director, Health Outcomes & Value Resume Examples & Samples

Development and execution of comprehensive annual strategic and operating plans and budget
Development and execution of health care economic information (HCEI) and related evidence-based customer-facing tools that demonstrate product value to U.S. payers and health-system decision makers. This is achieved in coordination with multiple internal functions including (but not limited to) those within Global Evidence and Value Development, and within Global Medical Excellence
Preparation with Payer Scientific Engagement and Managed Markets field teams on tools and materials for U.S. payer customer meetings; and presenting to payers, health-system decision makers, and related decision makers (e.g., policy groups) as required
Strategy and executional support for real-world evidence partnerships and quality improvement opportunities with key U.S. payer customers and health-systems
Strategic scientific development and technical consultation to Managed Markets on metrics, logistics, and feasibility considerations for value-based contracting and outcomes-based risk-share agreements
U.S. formulary and evidence dossier development (e.g., AMCP Format) and adaptation of value messages and supporting data from internal Global Value Dossiers for dossiers and field-based tools
Strategic framework input and support of adaptation of internal global economic models (e.g., cost effectiveness, budget impact) to U.S. decision maker perspectives, local parameters, functional requirements, and field-based tools
Surveillance and response/submission to U.S. health technology assessment and value framework groups (e.g., ICER, AHRQ, BCBSA Evidence Street) including proactively coordinating input and resources from across the Chief Medical Office and other internal functions. This includes aligning internal corporate awareness and informing related external communications as relevant
U.S. input on value-evidence requirements and related-strategy for pipeline products and business development opportunities via GVAS process, internal advisory Council(s), formal payer advice, and other processes in collaboration with GHEOR Strategy, Scientific Payer Engagement, and Managed Markets
Serve on Global Evidence and Value Development Leadership team
Mentor, manage, and/or precept Allergan HEOR post-doctoral fellow and/or intern, as needed
Quarterly dashboard updates and report for key activities
Provide support to relevant value and/or HEOR policy issues as requested by Chief Medical Office functions, government affairs, and/or managed markets
Represent Allergan (as needed) at policy and/or scientific/medical forums for assigned areas
Maintain ongoing awareness and understanding of implications for evolving U.S. market trends and the regulatory/legislative/policy landscape related to use of HEOR evidence and similar data/activities for reimbursement and access of pharmaceuticals and medical devises. Serve as internal expert on such
At least 10-years industry-related experience in health economics and outcomes research with emphasis in three or more of the following areas preferred
Development and delivery of HEOR communications for external U.S. audiences
Design of Phase IIIB/IV studies with HEOR endpoints to support U.S. region
Development, validation and/or use of PRO measures
Analysis of US claims databases to assess disease impact and/or comparative outcomes
Model development to assess the economic value of medical products and predict budget impact
Developing value evidence materials and presentation to U.S. payers
Successful experience collaborating and driving results across a matrix work environment
Ability to travel 10-30% of time
Deep understanding of U.S. pharmaceutical and device payment system, health insurers, health systems, and related stakeholders in terms of how drugs and devices are assessed for formulary/reimbursement decisions, formulary and utilization management, and evidence-based data requirements for successful market access
Detailed knowledge in health economics and outcomes research methodology (e.g., economic modeling, real-world data, patient-centered outcomes, epidemiology/biostatistics) and application of research outputs into effective tools, payer customer collaborations, and responses to health technology assessment
Drug development and commercialization, including roles of multiple functions including HEOR, medical, regulatory affairs, legal, clinical development, managed markets, and brand marketing
Broad understanding of the Federal Food, Drug, and Cosmetic Act and its associated regulations and related laws/policies regarding communication with payers and promotion of pharmaceuticals and medical devices

Director, Health Promotion Services Resume Examples & Samples

Bachelor's degree in Public Health, Health Psychology, Health Behavior change or related field with a minimum of six (6) years of full-time professional health promotion work experience
Exceptional skill in designing and implementing evidence-based comprehensive health promotion programs to improve the overall health, well-being and academic performance of college students, including development, implementation, management and evaluation
Strong demonstrated knowledge of psycho-social and environmental influences on health behavior with ability to analyze high-risk health behaviors in a university population. Experience using bio-psycho-social, ecological and other health promotion models
Demonstrated skills in developing and implementing environmental and policy change activities
Proficient skills in marketing, social marketing, and public relations, budget and fiscal management skills
Demonstrated knowledge and application of health promotion, health behavior change, health psychology, and population-based theories and models. Demonstrated knowledge and application of student development and learning theories and models
Comprehensive working knowledge of the ACHA Standards of Practice for Health Promotion in Higher Education. Demonstrated knowledge to conceptualize health promotion in the context of higher education
Evidence of ability to provide leadership and problem-solving skills in analyzing and addressing health promotion needs of young/emerging adults, especially college students
Proven demonstrated Supervisory skills: 1. Demonstrated experience and skill to routinely monitor production and quality of work being produced by staff and set performance standards, observing behavior, providing objective feedback, counseling, and implementing corrective action as needed to mediate disputes or otherwise help to resolve conflicts; and to provide effective leadership/coaching/mentoring. 2. Demonstrated experience and skill to assess staff capabilities and workloads and redistribute when necessary. 3. Demonstrated experience to provide leadership and cohesion to build and maintain a strong team. 4. Demonstrated skills to effectively train, supervise and mentor student employees and interns
Master’s or doctoral degree in relevant area including public health, health psychology, health behavior change or related area. Degrees in other fields such as student affairs may be considered with evidence of sufficient college health promotion experience

Director, Health Care Systems Account Manager Resume Examples & Samples

Minimum 10 years pharmaceutical experience and 5 years total experience in Key Account Management, Reimbursement, and/or Sales Management
Demonstrated success in Account Management – oncology or specialty experience preferred
Proven ability to establish and cultivate key customer relationships
Strong Strategic and Business Acumen skills
Strong Negotiation skills
Excellent understanding of Systems of Care, the Healthcare space and the changing market dynamics
Demonstrated ability to lead without authority, need to be able to drive through execution across multiple client groups/franchises and with customers
Strong Negotiating skills
Deep understanding of Systems of Care (SOC), the healthcare space and changing market dynamics

Director Health Services Resume Examples & Samples

A registered nurse having at least (3) years experience providing care coordination to persons receiving Medicaid services and an additional two (2) years work experience in managed care. Advanced degree preferred
Significant experience in development and execution of clinical programs in public sector managed care environment
Clinical experience with Medicaid/Medicare populations
Intermediate computer skills - MS Office Suite - PowerPoint, Excel, Word
Medicaid Managed Care Experience
Field based case management program implementation and monitoring
CCM Certified

Director, Health Program Resume Examples & Samples

Strengthen internal capacity of staff and innovative thinking in new areas of MEPM. Work with existing program faculty and staff in Baltimore and in the field offices to build critical thinking and knowledge of MEPM concepts. Plan and execute baseline assessments, mid-term and end of project evaluation for the purpose of rigorously assessing the impact of programs
Use generated outcome and impact evidence to inform organizational strategy and design of new programs. Drive and synthesize analysis initiatives across program teams and provide regular analyses overviewing relevant program topics and disseminate information to the proper stakeholders
Report on the project’s Performance Monitoring Plans (PMP) in collaboration with field program and MEPM Teams. Work with HQ technical leadership to integrate relevant components into MEPM frameworks
Support in the collection and monitoring of all MEPM activities under projects - this includes reviewing data collection tools, supervising and/or conducting reports from fieldwork, conducting data analysis and interpretation of findings
Conduct routine data quality assurance process to maintain adequate quality control in all aspects of MEPM from data collection to results reporting. Review partner’s progress reports in collaboration with program managers and provide feedback to the partners based on their performance
Prepare or support routine reports, abstracts, presentations, brochures, project summary sheets, newsletters and present at conferences or meetings when required. Prepare semi-annual and annual reports, and draft quarterly project reports in close collaboration with project staff
Contribute to quarterly, biannual, and annual tabular and narrative reports
Provide information in response to ad hoc internal and external requests. Communicate MEPM results to internal and external audiences orally and in writing. Develop and update the project’s results plan and follow up on data collection and dissemination of best practices and lessons learned
Actively participate and contribute to publications in peer reviewed journals and other program briefs and manuscripts. Participate in proposal preparation supporting the business development team including planning and writing of Monitoring and Evaluation Performance Measurement Plans

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