Clinical Client Integration Manager

1 day ago

Concord, New Hampshire, United States Highmark Health Full time
Job Summary

This role is responsible for providing clinical support to account and sales activities within the Clinical Services division. The incumbent will work closely with leaders in clinical services and sales/account management to develop collaborative relationships across departments such as sales, actuary, product, and marketing. The goal is to provide clinical content research for clients, clinical expertise for high-cost reporting, RFP responses, and preparation for client meetings.

Key Responsibilities

* Develop collaborative relationships across various departments to provide clinical content research for clients and clinical expertise for high-cost reporting.
* Actively collaborate with account managers, clinical sales consultants, and other key stakeholders in preparation for client meetings.
* Provide support and participate in sales finalist meetings from a clinical services perspective by providing clinical insight into value to members and clients.
* Support the clinical management team to ensure clear expectations for Case Managers & Disease Managers as it relates to specific models and client accounts.
* Provide implementation and ongoing support for clinical teams for buy-up products.
* Work with clinical managers to coach nurses on identified opportunities specific to client expectations.
* Serve as primary leader in coordination and preparation for client audits and clinical reviews, ensuring all requirements established by the client are met and staff involved in any onsite reviews are adequately prepared and coached.

Requirements

* Bachelor's Degree in Nursing or clinical-related field OR relevant experience and/or education as determined by the company in lieu of bachelor's degree.
* 5 years of clinical or managed care experience.
* Health insurance experience preferred.

Skills

* Written & Oral Presentation Skills.
* Analytical Skills.
* Relationship-builder with Unsurpassed Interpersonal Skills.
* Project Management.
* Reporting.
* Sales Support.
* Leadership.
* Languages (other than English) - None.

Travel Requirement

0% - 25%

Disclaimer

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement

This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum
$57,700.00

Pay Range Maximum
$106,700.00

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