Category: Curator- Job Hunter

 
 

Job Description

At UnitedHealthcare, a part of the UnitedHealth Group family of businesses, we’re dispensing with tradition. Join us as we take on the challenge of reinventing the health system. As a Value-Based Care Pharmacy Associate Director pharmacist, you’ll play an important role in enhancing clinical pharmacy programs such as and related to health outcomes, disease state management, care management and other specialty programs and the role of the ACO in pharmacy management for our members. You will be an integral part of UCS’s Population Health Management team, supporting the UHC Accountable Care Organizations with national value-based care programming, with a focus on Medicaid Value-Based Care strategy. You will have the opportunity to leverage powerful data and analytics to identify and intervene on pharmacy opportunities that impact the total cost of care and improve quality metrics at the ACO level as well as regionally and nationally. You will develop and implement national and local strategy and create innovative population health programs to improve therapeutic optimization, medication adherence, and improve clinical outcomes. In this unique role, you will also participate in and lead clinical leadership workgroups and strategy initiatives with a variety of different teams. Broad-based comprehensive knowledge related to pharmacy trends, population health programming and project improvement is critical to success in this role. You’ll need to be comfortable creating clinical models of care and supporting business plans and working in a highly matrixed environment for successful program delivery. It’s an exceptional opportunity to join a team with a focus on clinical and business collaboration. Join us today and start making a difference in the lives of millions. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Develop and implement national and regional Medicaid ACO pharmacy cost-savings and quality strategy and initiatives Partner with health plan leaders, CMOs and other clinical leaders to identify and develop pharmacy-related population health programs to improve formulary compliance, medication adherence, reduce excess and inappropriate prescribing and promote value-based pharmacy programming with our ACO partners Collaborate with cross-functional clinical, network, and medical economics teams to lead and support value-based care pharmacy reporting delivery, operations, enhancements, and development of new reports and outcomes analyses Present pharmacy data and actionable cost-savings and quality opportunities to ACO providers and clinical leadership Lead the end-to-end creation, execution, and evaluation of innovative initiatives and pilots Document clinical interventions and evaluate impact on outcomes and savings Act as the resource for medication and pharmacy benefit information for the ACO internal team Educate field-based teams on clinical guidelines and formulary updates, and act as a knowledge resource for physicians and other healthcare providers with respect to drug information and drug report requests Identify solutions to non-standard requests and problems Broad-based and comprehensive knowledge is critical to success in this role. You’ll need to be comfortable working with executive leaders and stakeholders across UHC and OptumRx. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Doctor of Pharmacy degree Current and unrestricted pharmacist licensure 4 years in a PBM or Managed Care plan 3 years of experience in patient care and working directly with clinicians or physician practices 2 years in Population Health or Disease Management programming Ability to travel nationally up to 25% Experience conducting data analysis Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation Preferred Qualifications: MBA or MPH Pharmacy residency or fellowship completed Board Certified Pharmacotherapy Specialist or equivalent expertise Medicaid health plan experience Medical informatics/analytics experience Demonstrated disciplined decision-making skills Demonstrated high quality execution of complicated and cross discipline programs Solid analytic skills, clinical knowledge, and business acumen Solid communication skills (written and verbal) Solid presentation skills High emotional intelligence and relationship building skills To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. Careers with UnitedHealthcare. Let’s talk about opportunity. Start with a Fortune 5 organization that’s serving more than 85 million people already and building the industry’s singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they’re found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that’s second to none. This is no small opportunity. It’s where you can do your life’s best work.(sm) Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado/Connecticut/Nevada residents is $97,300 to $176,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment. Brand: UHC Clinical Services Job ID: 2067402 Employment Type: Full-time Job Area: Clinical

 
 

Clipped from: https://b-jobz.com/us/web/jobposting/3085894921?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Description

SHIFT:
Day Job

SCHEDULE:
Full-time

Responsible for all financial reporting analysis/cost and budget functions for business unit. Provides financial leadership, decision support and strategic direction to support the senior management team’s achievement of the business plan. Primary duties may include, but are not limited to:
Provides decision support/analysis and financial leadership to business unit President and senior management team. Conducts analysis and reporting to understand trends, variances and identify opportunities for margin and operational improvement. Leads the preparation of budget and forecasts that represent the best projection of future performance. Works with management to determine assumptions and identify new initiatives for the business unit. Ensures alignment of budget/forecast to business plan.

Requires a BA/BS in accounting or finance and a minimum of 5 years of progressively more responsible experience in a high level financial analysis position for a publicly held company; ination of education and experience, which would provide an equivalent background. MBA, CPA, CFM, erred. Experience supporting senior management and prior leadership experience preferred.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate.

Anthem will also follow all relevant federal, state and local laws.

Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply,

 
 

Clipped from: https://www.learn4good.com/jobs/waukesha/wisconsin/finance/1188653391/e/

 
 

Job Description

The Medicaid Compliance Auditor is responsible for participating in auditing and contract adherence activities to ensure that Retreat adheres with applicable laws, regulations, and contractual requirements for the Florida Statewide Medicaid Managed Care (SMMC) program.

Primary duties may include, but are not limited to: 

·       Oversees Medicaid compliance in accordance to Retreat’s mission, code of ethics, and integrity

·       Prepares and ensures completion of internal and external audits, adherence reporting, and tracking/monitoring processes 

·       Audits work and charts to ensure appropriate and consistent administration of contract requirements and CMS guidelines. Works with executive leadership and management to drive compliance into Retreat’s business plans, metrics and processes

·       Responds to on demand state and/or federal audit requests.  

·       Responsible for quality reviews, audit participation, and presents audit results. Ensures compliance risks and audits are address and corrective action plans taken

·       Documents audit findings in a timely, accurate, and concise manner. Assures timely implementation of all state and federal regulations

·       Tracks and monitors activities including but not limited to critical incidents, patient experience, caseload track and NCI surveys 

·       Works with HR to ensures clinical licensure adherence with contract requirements.  

·       Maintains knowledge of tracking tools and databases and prepares reports to document contract adherence issues. 

·       Other duties as assigned by oversight board

Qualifications 

Minimum Requirements: 

·       AA/AS and minimum of 5 years related experience

or

·       BA/BS and minimum of 3 years related experience

Preferred Skills, Capabilities and Experiences: 

·       Florida SMMC experience preferred

·       Licensed RN, LPN/LVN, LSW, LCSW, LMSW, LBSW, BSW, or MSW in accordance with accordance with state law

·       Health care auditing certification preferred

·       Computer experience including Microsoft Office Suite including Outlook, Word and Excel preferred

Company Description

Retreat Behavioral Health is a respected provider of substance use disorder and mental health treatment services. With a number of locations along the East Coast and a multitude of inpatient and outpatient services, Retreat’s goal is to help people easily access the best quality of care in a holistic and peaceful environment. We are in-network with most major insurances, and our admissions department operates 24/7. Our on-site clinical and medical staff are leaders in their fields, committed to working tirelessly on behalf of our patients.

Retreat Behavioral Health

Retreat Behavioral Health is a respected provider of substance use disorder and mental health treatment services. With a number of locations along the East Coast and a multitude of inpatient and outpatient services, Retreat’s goal is to help people easily access the best quality of care in a holistic and peaceful environment. We are in-network with most major insurances, and our admissions department operates 24/7. Our on-site clinical and medical staff are leaders in their fields, committed to working tirelessly on behalf of our patients.

 
 

Clipped from: https://www.ziprecruiter.com/c/Retreat-Behavioral-Health/Job/Medicaid-Compliance-Auditor/-in-Palm-Springs,FL?jid=f755301ce69fe509&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Medicaid, business analysis, mmis, pbm, mco, 365, requirements, business analyst, meetings, functional, non-functional

Full Time

$50 – $55

Work from home available

Job Description

Dedicated Tech Services, Inc. (DTS) is an award-winning IT consulting firm based in Columbus, OH. We now have an opening for a Business Analyst with Medicaid experience..

Job Description:

We are hiring an experienced Business Analyst with Medicaid experience to work for us as a direct W2 salaried or hourly employee for a potential long-term contract with our client. The selected candidate will work on projects related to the Single Pharmacy Benefit Manager (SPBM) and Pharmacy Pricing and Audit Consultant (PPAC) modules of our client’s management system replacement project. The projects have fast-approaching go-live dates, so candidates must be familiar with Medicaid concepts to quickly come up to speed. You will:

• Author and update various trackers for use by our client’s staff
  
• Conduct independent research
  
• Be accountable for requirements deliverables, including eliciting, analyzing, validating, managing, and documenting system requirements
  
• Develop functional and non-functional requirements documents
  
• Assist with managing pending comments and final approvals from the client staff on any project documents, working in collaboration with client staff and module vendor.
  
• Identify and communicate risks, constraints, obstacles, or other concerns which may jeopardize timely delivery with the Project Manager.
  
• Assist with managing project action items, risks, issues, and decision logs.
  
• Take notes and prepares meeting minutes.
  
• Interact with State’s SharePoint sites to access, upload, and manage documents.
  
• Manage assigned work according to pre-defined schedules and deadlines.
  
• Ensure that work adheres to client quality expectations.
  

Required Skills and Experience:

• Experience in Medicaid and related terminology. Previous work experience with Medicaid is required.
  
• Willingness to quickly learn new concepts and terminology
  
• Be flexible regarding job and task assignments and maintain a “can do” attitude.
  
• Proficiency with Microsoft 365 suite
  
• Must have consistent home internet connection that is capable of supporting video streaming.
  

Desired Skills and Experience:

• Previous professional experience with a pharmacy benefit manager (PBM) or a Managed Care Organization (MCO).
  

This is initially a remote position, but the selected candidate will be expected to work on site in Columbus, OH when the client returns to the office.

s and those authorized to work in the US are encouraged to apply. We are unable to sponsor at this time.

 
 

Clipped from: https://www.dice.com/jobs/detail/735272393904fca1306d5158fbd01397?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Job Description

OverviewPublic Consulting Group, Inc. (PCG) is a leading public sectorsolutions implementation and operations improvement firmthat partners with health, education, and human services agencies to improve lives. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has over 2,500 professionals in more than 60 offices worldwide.PCG’s Technology Consulting practice offers a full spectrum of quality Information Technology (IT) services to help state and local government agencies at every stage of the IT life cycle.Through its specialized IT services, PCG’s Technology Consulting team finds cost-effective ways to help agency partners deliver successful IT systems that enhance the lives of the user base. To learn more, visithttps://www.publicconsultinggroup.com/technology-consulting/ResponsibilitiesSpecific Responsibilities:• Provide oversight and technical expertise on large-scale IT projects• Provide technical oversight of applicable vendor and/or client processes, methodologies, and tools to minimize risk and validate the applicable requirements, standards and best practices are being followed on the project.• Lead technical reviews and assessments of vendor and/or client tasks, deliverables, and work products, including providing recommendations for risk mitigation and acceptance.• Monitor the technical aspects of the project and the vendor and/or client activities providing input and guidance that supports efficiencies to the client and project.• Support the client and stakeholders in the planning and strategy discussions on the best approach for addressing risks and issues as they occur, in an effort to ensure that the project remains on schedule and within budget.• Understand various software development life cycle methodologies and how they are used• Participate in business development by identifying new opportunities and assisting with proposal developmentQualificationsRequired Skills/Experience• 5+ years of overall IT industry experience• 5+ years of experience performing project oversight and assessment for large enterprise grade information technology systems• 5+ years of experience aligning IT systems with organizational business processes. At least three (3) years of that experience must have been in a lead capacity• 4+ years of experience performing technical project management, oversight, and reporting for a large-scale information technology initiative• 4+ years of experience performing within an IT Project Lifecycle (i.e., Software Development Life Cycle (SDLC) and Agile/SCRUM) for a large-scale information technology initiative• 3+ years of experience utilizing, establishing, documenting and improving upon enterprise governance processes within a large organizationDesired Skills/Experience• Experience working with Federal Agencies such as CMS and FNS• Experience with Federal Certification guidelines and processes, such as Outcomes Based Certification (OBC) and Streamlined Modified Certification (SMC)• IV experience• Agile methodology experience• Experience with Medicaid Infrastructure Technology Architecture (MITA) #D-PCG#LI-AH1#LI-RemoteEEO StatementPublic Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employmentregarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programsare based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.Connect With Public Consulting Group!Connect with Public Consulting Group(

 
 

 
 

Clipped from: https://b-jobz.com/us/web/jobposting/493764106?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

The Office of Attorney General Keith Ellison — one of Minnesota’s largest public law offices and recognized as a 2021 Star Tribune Top Workplace Minnesota and 2022 Top Workplace USA — has a clear mission: we help Minnesotans afford their lives and live with dignity, safety, and respect. We are a dynamic group of dedicated professionals who could all work elsewhere but choose public service as a calling, and we are actively building an internal culture that supports that calling.


The Office is currently seeking a Data Analyst in the Medicaid Fraud Control Unit (MFCU) of the Office. The MFCU conducts criminal and civil investigations into health care providers suspected of defrauding the Minnesota Medicaid program.


A successful candidate in this position will be able to:

• Review, analyze, organize, and sort large volumes of data
  
• Generate reports to support the investigations within the MFCU
  
• Review the allegation(s) being investigated, the applicable Medicaid program rules, and the relationship of those components to the claims data and/or relevant data obtained from state agencies or insurance companies
  
• Work with large, complex data sets
  
• Synthesize findings into comprehensive reports
  
  
  

While most duties are in an office environment, analysts may also be called upon to assist with the execution of premises search warrants, as well as assist with the review of evidence seized during search warrants. Analysts are required to testify in Court about their findings at criminal jury trials.


Minimum Qualifications

• Bachelor’s degree or equivalent experience
  
• 1 year of professional experience in an analyst position using Microsoft Excel, including demonstrated experience with pivot tables, VLOOKUP or index/match functions, power query, and creating VBA macros
  
• Basic knowledge of the Minnesota Medicaid program, medical coding, and basic investigative techniques
  
  
  

To be considered at the LA6 level, candidates must have 5 years of related experience.


Preferred Qualifications

• 3 or more years of professional experience in an analyst position using Microsoft Excel, including demonstrated experience with pivot tables, VLOOKUP or index/match functions, power query, and creating VBA macros
  
• Experience working in a criminal justice system
  
• Experience testifying in courtroom proceedings
  
  
  

Why Work For Us


GREAT BENEFITS PACKAGE! The State of Minnesota offers a comprehensive benefits package including low cost medical and dental insurance, employer paid life insurance, short- and long-term disability, pre-tax flexible spending accounts, retirement plan, tax-deferred compensation, generous vacation, and sick leave, and 11 paid holidays each year.


Public service with this office may qualify applicants to have part of their student loans forgiven under a federal student loan forgiveness program for state government employees. (Visit https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service for more information.)


Our differences make us stronger and leveraging them helps us create a workforce where everyone can thrive. The State of Minnesota is an equal opportunity employer. We are committed to embedding diversity, equity, inclusion, and accessibility at our workplace. We do this by developing strong leaders and advocates, increasing cultural competence, and understanding among all employees, and removing institutional barriers and attitudes that prevent employees from advancing as far as their talents will take them. We prohibit discrimination and harassment of any kind based on race, color, creed, religion, national origin, sex (including pregnancy, childbirth and related medical conditions), marital status, familial status, receipt of public assistance, membership or activity in a local human rights commission, disability, genetic information, sexual orientation, gender expression, gender identity, or age.


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We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Build the Possibilities. Make an extraordinary impact.

Anthem’s Medicaid Proposal Development Team is looking for a Director of Writing for Proposal Development to join its team. This people leader will lead our internal writing team and editors. S/he also staffs and manages our live proposal work with external writers to supplement our internal writing staff. S/he is also responsible for the completion and quality of our Medicaid Proposal writing, tracking performance, and maintaining our core content library.

[This position can work remotely from any US Anthem office]

How you will make an impact:

Responsible for directing and conducting activities related to the development of the Medicaid proposal process, to include strategic messaging and writing and/or support of effective and efficient development of responses to Requests for Proposal(s) to expand the Medicaid business in both new and existing markets. Primary duties may include, but are not limited to: Incorporates evaluation of the market and customer values and develops win themes and tactics to ensure messages are evident in the response and the Company is well-positioned to win the business. Considers the competitive environment, customer goals, objectives, and the RFP requirements in the development of strategies to deliver the Companys messages effectively and timely. Leads and manages the writing team which includes both internal and external resources and/or leads the development of proposal tools and processes to ensure they are consistent with win themes, style guide, and other presentational tactics, as identified in the RFP Response and Leadership Strategy processes (to include issues management, document production and assessment of the proposal to drive a complete, fully compliant and effective proposal response). Hires, trains, coaches, counsels, and evaluates the performance of direct reports.

Qualifications

BA/BS degree and a minimum of 7 years of related experience including at least 5 years of leadership experience; or any combination of education and experience, which would provide an equivalent background.

Highly preferred skills and experience:

-Former proposal writing experience, preferably on Medicaid Health plan proposals

-People management experience

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

 
 

Clipped from: https://www.myvalleyjobstoday.com/jobs/director-writing-for-medicaid-proposal-development-morristown-new-jersey/577031545-2/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

At CMS, we believe that at the core of our organization are the employees that carry out the Agency’s vision of advancing health equity, expanding coverage, and improving health outcomes.

 
 

About the role:

 
 

As a Health Policy Analyst (Health Insurance Specialist on USAJOBS), you will responsibilities include the development, evaluation, and implementation of policies and operational procedures related to the Medicaid prescription drug programs and related operational issues.

 
 

What you’ll do:

 
 

• Lead and/or conduct analyses and special studies of policy and/or operational issues and topics related to Medicaid prescription drug programs, and related operational issues.
  
• Provide recommendations for improvements to the Medicaid program, operational procedures, program guidance and instructions, business and communications processes, analytical techniques, decision support capabilities, and systems.
  
• Assist in the design, development and implementation of the new Medicaid Drug Program. Testing of the system.
  
• Provide advice and consultation in the evaluation of proposed, modified, or new legislation and regulations to assess impact on Medicaid prescription drug programs, and other policy and/or operational areas
  

 
 

Experience we’re looking for:

 
 

1) Developing and/or implementing prescription drug programs, operations and/or policies in one or more of the following: Drug Payment methodologies, prescription plan rebates, and/or utilization management experience for a drug benefit.

2.) Drafting a variety of technical documents (i.e. health program policy issue and decision papers, and terms and conditions or other legal documents).

 
 

Expanded/Maximum Telework Posture: Due to COVID-19, the agency is currently in a maximum telework posture. If selected, you may be expected to telework upon your appointment. As employees are permitted to return to the office, you may be required to report to the duty station listed on this announcement, even if your home/temporary telework site is located outside the local commuting area. Your position may be eligible for workplace flexibilities which may include remote work or telework options, and/or flexible work scheduling. These flexibilities may be requested in accordance with the CMS Master Labor Agreement.

 
 

Come see why over 6,000 employees say CMS is their employer of choice! In addition to dynamic and exciting opportunities, CMS offers generous compensation and benefits programs, an outstanding work-life balance, and most important, the opportunity to give back to your community, state and country by making a difference in the lives of Americans everywhere.

 
 

You MUST apply through USAJOBS to be considered.

 
 

Clipped from: https://www.linkedin.com/jobs/view/health-policy-analyst-at-centers-for-medicare-medicaid-services-3050261539/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Field Director, Medicaid – West Region – Johnson & Johnson Health Care Systems Inc.

Johnson & Johnson Health Care Systems Inc. Strategic Customer Group Inc. is recruiting for a Field Director, Regional and Government Accounts – Payer for the Medicaid West Region, covering Medicaid customers in 30 states. This is a field-based Account Management leadership role and residing in one of the covered states is preferred.

Johnson & Johnson Health Care Systems Inc. provides account management and customer support services to key health care customers, including hospital systems and group purchasing organizations, leading health plans, pharmacy benefit managers, and government health care institutions. The company also provides contract management, logistics and supply chain functions for the major Johnson & Johnson franchises. This role is focused specifically on Medicaid, government business.

The Janssen Pharmaceutical Companies of Johnson & Johnson, provide medicines for an array of health concerns in several therapeutic areas. Our goal is to help people live healthy lives. We focus on treating, curing, and preventing some of the most devastating and complex diseases of our time. And we pursue the most promising science, wherever it might be found. We have produced and marketed many first-in-class prescription medications and are poised to serve the broad needs of the healthcare market – from patients to practitioners, from clinics to hospitals. For more about the Pharmaceutical Companies of Johnson & Johnson, visit: http://www.janssenpharmaceuticalsinc.com

The Field Director, Regional and Government Accounts leads, collaborates, and directly manages an external facing team of Strategic Market Directors who are fully accountable for, and have primary responsibilities for the Janssen portfolio in Medicaid, as well as leading internal state coalitions to understand market influencers and mitigate potential risks. The Field Director is responsible for ensuring product access and profitability within covered Medicaid states through direct interaction, coaching and guidance of their direct reports. The Field Director also serves as a thought leader and expert resource for specific areas of expertise in the local market, across the Janssen therapeutic areas and portfolio of products.

The Field Director ensures that customized business plans, strategic goals and objectives, and account plans are developed for each Medicaid stakeholder that aligns with Regional, National, and Company goals. The Field Director ensures that the team efforts are prioritized across stakeholders to maximize product access opportunities, share customer insights, and aid the team in obtaining and allocating resources. The Field Director collaborates and consults with stakeholders across the matrixed internal organization to develop and execute exceptional solutions that exceed mutual current and unmet or unrealized needs that bring value to all parties. The Field Director serves as a field-based conduit by interacting and communicating with cross-functional business partners to identify and understand stakeholder needs and provides voice of customer feedback. The Field Director collaborates with Brand teams to develop and execute brand strategies that considers marketplace trends gained through intelligence and constant communication with stakeholders. The Field Director incorporates knowledge of local and regional dynamics, marketplace complexity and business trends to deliver maximum access to the portfolio of products. This role is also responsible for navigating alignment with internal SCG Value, Access and Pricing partners to achieve business plan product access objectives.

The Field Director hires, develops, assesses, trains, and motivates team members to achieve business and professional developmental goals and objectives. They coach others to effectively convince internal and external stakeholders to build mutual alignment, adopt difficult positions, and achieve outcomes that are both customer-centric and company responsible.


Qualifications

• BA/BS degree required.
  
• Five years of account management experience required.
  
• Three or more years of people management experience within healthcare required, preferably within pharmaceutical, medical/surgical or device account/sales management.
  
• Experience leading an external-facing team, managing multiple projects simultaneously and effectively leading and developing direct reports required.
  
• Experience in health plan, payer contract negotiations, and contract implementation strongly preferred.
  
• Janssen therapeutic area and product knowledge preferred.
  
• Prior experience with key stakeholders at the Director and senior management level preferred.
  

This Field Director position is field-based and covers; AL, AZ, AR, CA, CO, HI, ID, IL, IN, IA, KS, LA, MI, MN, MS, MO, MT, NE, NV, NM, OH, OK, OR, PA, SD, TX, UT, WA, WI, WY and requires up to 50% travel.

At Johnson & Johnson, we’re on a mission to change the trajectory of health for humanity. That starts by creating the world’s healthiest workforce. Through cutting-edge programs and policies, we empower the physical, mental, emotional, and financial health of our employees and the ones they love. As such, candidates offered employment must show proof of COVID-19 vaccination or secure an approved accommodation prior to the commencement of employment to support the well-being of our employees, their families and the communities in which we live and work.


For more information on how we support the whole health of our employees throughout their wellness, career and life journey, please visit www.careers.jnj.com.

Johnson & Johnson Family of Companies are equal opportunity employers, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, protected veteran status, disability status, or any other characteristic protected by law.


Primary Location
United States-California–
Other Locations
North America-United States-Arizona, North America-United States-Colorado, North America-United States-Hawaii, North America-United States-Iowa, North America-United States-Idaho, North America-United States-Illinois, North America-United States-Indiana, North America-United States-Kansas, North America-United States-Louisiana, North America-United States-Michigan, North America-United States-Minnesota, North America-United States-Missouri, North America-United States-Mississippi, North America-United States-Montana, North America-United States-Nebraska, North America-United States-New Mexico, North America-United States-Nevada, North America-United States-Oklahoma, North America-United States-Oregon, North America-United States-Pennsylvania, North America-United States-South Dakota, North America-United States-Texas, North America-United States-Utah, North America-United States-Washington, North America-United States-Wisconsin, North America-United States-Wyoming, North America-United States-Alabama, North America-United States-Arkansas
Organization
Johnson & Johnson Health Care Systems Inc. (6077)
Job Function
Sales
Requisition ID
2206034281W

 
 

Clipped from: https://www.themuse.com/jobs/johnsonjohnson/field-director-medicaid-west-region-johnson-johnson-health-care-systems-inc-a4a929?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Today

Job Details

Description

The Manager, Medicaid Sales works to maximize Medica’s Medicaid sales opportunities and grow partnerships with community providers. This position is responsible for building relationships with a variety of internal partners and external stakeholders such as potential enrollees, providers, county and state agencies, non-profit organizations, and other stakeholder groups.

This position will ensure that operational processes critical for the success of the business are identified, assessed, and implemented through collaboration with Sales, Marketing, IT, SPP Product, and SPP Leadership. The incumbent will engage in a planned approach to achieve results aligned with departmental goals. Emphasis will be placed on data driven actions, collaboration, automation, and market presence.

Qualifications:

• Bachelor’s degree in business, management or healthcare field or equivalent experience
  
• Minimum of 3 years of SPP Sales experience and selling Coordinated care products
  
• 5 years experience working in the healthcare industry
  
• Medicare knowledge/experience required
  

Required Certification/Licensure:

• Current Life/Health Insurance license
  

This position requires COVID-19 vaccination per Medica’s Employee COVID-19 Vaccination Policy. If you are hired, you would be expected to be fully vaccinated for COVID-19 prior to starting the position, unless a medical or religious exemption is needed. Medica is an Equal Opportunity Employer and provides reasonable accommodations in compliance with the ADA and Title VII.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35©

 
 

Clipped from: https://www.theladders.com/job/medicaid-sales-manager-medicahealthplans-mi-dot-net-onka-mn_53758479?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic