Managed Care Sales Specialist

2 weeks ago

Livermore, United States Gateway Recruiting Full time

The

Managed Care Sales Specialist

is responsible for key account Managed Care Sales. Managed Care sales targets include national payors, national networks, managed care organizations (HMO, PPO, POS, EPO), providers at financial risk (medical groups and IPAs), Self-funded plans, Third Party Administrators, and Workers Compensation payors/networks. Job Responsibilities: Implements corporate strategies to increase revenue and health plan covered lives. Identify, develop, implement, and maintain managed care relationships. Closing and executing payor contracts and building corresponding covered lives and associated revenue growth. Develop business relationships on behalf of the company and effectively build and promote the company’s payer value proposition to national, regional, and local insurance carriers. Position home INR monitoring and VAD product lines as well as other identified services to payers and their provider's arms (if applicable) as a superior, preferred, and cost-effective means to support chronic disease management. Work in partnership with available resources to develop creative contracting strategies and to close sales opportunities. Monitors the healthcare market and recommends new and creative business opportunities as it relates to managed care. Establishes guidelines for and negotiates contracts with payer customers forHealth products and services to ensure and achieve revenue growth, product implementation, and potential service expansion. Successfully implements managed care business plans for sales, product/service development, and provider relations. Participates in the

development/production

of payer proposals and other related correspondence leading to enhanced business revenue. Provides or coordinates clinical support during the sales process to enhance payer awareness and increase utilization ofHealth products and services. Develops and maintains relationships with national, regional, and local key accounts and strategically targets accounts to increase market share and enhance business revenues. Ability to obtain and foster positive relationships with key accounts through excellent interpersonal and communication skills. Maintains ongoing account management post-contract execution of contracts with assigned payer accounts. Provides proactive customer service, which includes facilitating the resolution of customer issues and fulfillment of customer requests. Operates within executive guidelines and corporate objectives to assist in the development of strategic sales and business development proposals. Organizes and manages identified internal and external resources required to implement approved business development initiatives. Maintains positive relationships with the payor customer while balancing thebest interests in negotiating the contract. Facilitates and communicates with finance, sales, operations, clinical, and administrative staff to achieve common goals and objectives. Prepares Managed Care updates to assist other departments ofHealth with the current status of health plan contracts. Assists with contract review, interpretation, and adherence to contract terms. Interacts, develops, and executes strategies with other business units and partners as appropriate to uncover and close new business opportunities. Follows all regulatory policies, procedures, privacy, and security standards in accordance with government agencies including all HIPAA requirements. Required Qualifications: Bachelor’s degree and equivalent experience in healthcare, business, or a related field. 6+ years of relevant working experience in provider/payor contracting in a managed care sales setting. 5+ years of face-to-face or over-the-phone sales experience in a healthcare environment. Extensive knowledge of health insurance plans (Medicare, Medicaid, Managed Care, PPO, POS, Self-funded, TPAs, Workers Comp, etc.) and health care environment. Proficient in negotiating contracts and agreements. Working knowledge of HCPCS and ICD-10 codes Advanced Excel skills. Excellent written and verbal communication skills Preferred Qualifications: Master’s degree Experience in physician, hospital, and disease management sales. Works well with management, peers, and subordinates. Advanced knowledge of provider contracts and health care reimbursement and the ability to negotiate effectively with internal/external stakeholders and payors. Payors include national payors, national networks, managed care organizations (HMO, PPO, POS, EPO), providers at financial risk (hospital/health system, medical group, and IPA), Self-funded plans, Third Party Administrators, and Workers Compensation payors/networks.

#J-18808-Ljbffr

  • Managed Care Sales Specialist, HF

    1 week ago

    Livermore, CA, United States Abbott Full time

    Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.Job Title...

  • Sales Specialist

    2 days ago

    Livermore, United States rag & bone Full time

    From our origins in New York in 2002, rag & bone was founded on a belief of uncompromising ideals: a commitment to doing things the right way, not the easy way. To making things that are as original as they are timeless. To being true to ourselves, even when that truth sets us apart from the mainstream. Maintaining authenticity in a trend-driven industry...

  • Sales Director

    1 day ago

    Livermore, California, United States REXEL Full time

    The position of Sales Director will be based out of San Francisco, CASummaryThis position will manage all Commercial Inside Sales Representatives in Northern California.For the state of California only, the pay range is $110,000 to $144,393.98, depending upon qualifications, experience and other considerations permitted by law. Essential...

  • Sales Director

    7 hours ago

    Livermore, United States REXEL Full time

    The position of Sales Director will be based out of San Francisco, CA! Summary This position will manage all Commercial Inside Sales Representatives in Northern California. For the state of California only, the pay range is $110,000 to $144,393.98, depending upon qualifications, experience and other considerations permitted by law.   Essential...

  • Regional Sales Manager

    1 week ago

    Livermore, United States Golden West Packaging Group Full time

    Golden West Packaging Group, a leading player in the packaging industry, is seeking a dynamic and results-driven Regional Sales Manager to join our expanding team in our Sacramento manufacturing location. With a commitment to innovation, sustainability, and customer satisfaction, we strive to deliver high-quality packaging solutions to a diverse range of...

  • Medical Billing Specialist

    5 days ago

    Livermore, United States Blue Star Partners LLC Full time

    Job DescriptionJob DescriptionJob Title: Medical Billing SpecialistLocation: Livermore, CA – Onsite – Local candidates onlyPeriod: 06/24/2024 to 06/20/2025 - possibility of extensionHours/Week: 40 hours Rate: $23/hour (Hours over 40 will be paid at Time and a Half)Contract Type: W-2Scope of Services:The Medical Billing Specialist assures that all phases...

  • Customer Service Specialist

    1 day ago

    Livermore, United States Mandarin Recruitment Full time

    Customer Service Specialist (Mandarin and-or Cantonese Speaking, $54k, Wholesale, Livermore) Location Livermore, United States Job Type FULL_TIME Expiry Date - 2023-12-05 Startdate - ASAP Job Ref - 105001 1 day 17 hours Job Description We have an exciting opportunity for a Customer Service Specialist role in a wholesale company based inCalifornia.The...

  • Outside Sales Representative

    12 hours ago

    Livermore, United States REXEL Full time

    The position of Outside Sale Representative will be based out of Livermore, CA! Summary The Outside Sales Representative is responsible for the sales and marketing efforts with the objective of increased profitable sales through creating, building, and maintaining high quality relationships with new and existing customers.  Utilize company digital tools...

  • Outside Sales Representative

    1 day ago

    Livermore, California, United States Rexel USA Full time

    The position of Outside Sale Representative will be based out of Livermore, CASummaryThe Outside Sales Representative is responsible for the sales and marketing efforts with the objective of increased profitable sales through creating, building, and maintaining high quality relationships with new and existing customers. Utilize company digital tools and...

  • Assistant Sales Manager

    3 weeks ago

    Livermore, United States G-III LEATHER FASHIONS Full time

    At Karl Lagerfeld Paris, our Assistant Managers directly help to drive our business success. They work directly with our Store Managers to promote operational effectiveness and ensure that customers are always our first priority. They take pride in delivering superior customer service and inspire associates to excel by being an exceptional role model. Our...

  • Department Manager

    4 days ago

    Livermore, California, United States Burberry Full time

    INTRODUCTIONAt Burberry, we believe creativity opens spaces. Our purpose is to unlock the power of imagination to push boundaries and open new possibilities for our people, our customers and our communities. This is the core belief that has guided Burberry since it was founded in 1856 and is central to how we operate as a company today. We aim to provide an...

  • Customer Relations Specialist

    12 hours ago

    Livermore, United States The Cary Company Full time

    The Cary Company is seeking an ambitious, energetic individual to support our Livermore, CA office as a Customer Relations Specialist. This position is perfect for those who thrive on managing multiple tasks while providing world-class customer service. In addition to being an excellent support for our sales force and management staffs, we are seeking a...

  • Sales Associate

    1 day ago

    Livermore, United States Ace Hardware Full time

    Sales Associate (Store 166, Livermore, CA) page is loaded Sales Associate (Store 166, Livermore, CA) Apply locations Store 166 - Livermore, CA time type Part time posted on Posted 30+ Days Ago job requisition id REQ-20965 About Westlake Ace Hardware Ace Retail Holdings, the division of Ace Hardware Corporation that owns and operates the Westlake Ace Hardware...

  • Sales Associate

    3 weeks ago

    Livermore, United States Strategis Companies, LLC Full time

    Location: **San Francisco Outlets** **JOB TITLE: Sales Associate** **IMMEDIATE MANAGER: Store Manager** **DIRECT REPORTS: 0** **DIRECT REPORTS TITLES: N/A** **JOB CLASSIFICATION: Non - Exempt** **BUDGET RESPONSIBILITY: N/A** **THE PURPOSE** As a **Sales Associate**, you will maintain outstanding customer service as per company standards, achieve...

  • Sales Associate

    15 hours ago

    Livermore, United States Westlake Hardware Full time

    About Westlake Ace HardwareAce Retail Holdings, the division of Ace Hardware Corporation that owns and operates the Westlake Ace Hardware chain, is one of the largest hardware retailers in the United States. Headquartered in Lenexa, Kansas, Westlake Ace Hardware has been in operation for over a century and operates over 150 neighborhood stores located...

  • Customer Relations Specialist

    1 week ago

    Livermore, United States The Cary Company Full time

    Job DescriptionJob DescriptionThe Cary Company is seeking an ambitious, energetic individual to support our Livermore, CA office as a Customer Relations Specialist. This position is perfect for those who thrive on managing multiple tasks while providing world-class customer service. In addition to being an excellent support for our sales force and...

  • Luxury Retail Sales Associate

    1 week ago

    Livermore, United States Longchamp USA Inc Full time

    Job DescriptionJob DescriptionDescription:Luxury Retail Sales Associate - La Maison LongchampLa Maison Longchamp: Based in Paris, Longchamp stands as an optimistic and independent family business with an international reputation. Joining Longchamp’s team means contributing to the creation and distribution of fashion and leather goods that are both fair and...

  • Sales Manager for Livermore Ford Lincoln Alfa Romeo Maserati

    1 week ago

    Livermore, United States Livermore Ford Full time

    Our loyal customer base has driven our business’s success and we’re seeking the top talent to grow with us! We are seeking an experienced Sales Manager to join our team at Livermore Ford Lincoln Alfa Romeo Maserati. Prior Automotive Sales Manager experience preferred. If you have previous experience and are interested in leading a growing department,...

  • Sales Associate

    2 days ago

    Livermore, United States Westlake Hardware Full time

    About Westlake Ace Hardware Ace Retail Holdings, the division of Ace Hardware Corporation that owns and operates the Westlake Ace Hardware chain, is one of the largest hardware retailers in the United States. Headquartered in Lenexa, Kansas, Westlake Ace Hardware has been in operation for over a century and operates over 150 neighborhood stores located...

  • Sales Associate

    1 day ago

    Livermore, United States Westlake Hardware Full time

    About Westlake Ace Hardware Ace Retail Holdings, the division of Ace Hardware Corporation that owns and operates the Westlake Ace Hardware chain, is one of the largest hardware retailers in the United States. Headquartered in Lenexa, Kansas, Westlake Ace Hardware has been in operation for over a century and operates over 150 neighborhood stores located...