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Job Title: Vice President Sales
Company: Confidential
Location: Washington DC, DC

Description:

Financial services company is seeking a Vice President of Sales. Successful candidates will be proven sales management professionals who know the commercial insurance industry. They will also have experience managing and developing sales teams, and possess the ability and desire to make direct sales calls themselves.

This position is personally and professionally attractive because it offers an opportunity for the Vice President to help develop an entirely new business segment for the company as well as offering exposure to the top management, and positions the successful executive for increased responsibilities.

Key Qualifications:

  1. Results - A proven track record of exceeding goals and a bottom-line orientation. In the end, this is a sales role. The candidate must have the proven ability to work effectively with customers and employees. And, the candidate must have outstanding client contact and presentation skills.
  2. Sales Management and Leadership – The candidate must have proven experience in sales as well as in developing and leading a sales team. The candidate must be able to improve the sales skills of his or her team, mentoring their growth and supporting them in their client interactions. The candidate must have experience in establishing procedures and processes that have resulted in performance improvements. The person must be able to develop individuals, set objectives and manage to those objectives. The candidate must also be able to make the tough call on individuals when necessary.
  3. Leadership through hands on sales activity with key accounts and prospects will be important.
  4. Business Knowledge – The candidate must understand the commercial insurance industry.
  5. Strong verbal, written and presentation skills.
  6. Solid educational background. Undergraduate degree is required





Job Title: Director, Insurance Administration Systems
Company:
Location: Newark, NJ

Description:
Position Title: Director – Insurance Administration Systems General Summary Responsible for the management, administration, enhancement, and support of all insurance administration systems. Manages a team of programmers to maintain these systems and partners with other areas of the Technology organization to meet application availability and performance service level targets. Partners with Operations organization to deliver new service capabilities. Partners with Marketing and Sales and Finance/Actuarial to design and implement new products in the administration systems. Partners with supervisor to upgrade and transition current RPG-based systems to future rules and Java-based system versions. Major Duties and Responsibilities · Acts as a senior subject matter expert and systems analyst in the following insurance administration systems; IBM Genelco Life Support Plus (LSP) 4.3 and better, IBM/Genelco Reinsurance Support Plus (RSP), and IBM/Genelco HBMS Group Insurance System. · Directs a team of one manager and 4 RPG ILE programmers responsible for maintenance and enhancement of the company’s insurance administration systems. · Partners with actuaries to evaluate product designs against admin system capabilities and design and implement enhancements to close gaps required to implement new products. · Leads and facilitates complex issue management and remediation activities in support of sales, customer service, legal or other business related issues related to admin system functionality or business rules. · Partners with other technology project managers and analysts to execute Enterprise Application Integration projects linking company insurance administration systems with web, underwriting, workflow systems, etc. · Partners with Technology Infrastructure Management team to maintain system performance and availability to meet required service levels. · Partners with IBM iSeries administrator to manage and tune application to optimize use of platform resources and deliver optimal application and platform performance. · Partners with supervisor and QA manager to prioritize and manage work order pipeline. · Acts as liaison to business in all insurance administration system subject areas. · Manages team responsible for InSystems/SkyWire Calligo Document Assembly System. · Designs and recommends system modifications to improve system performance or achieve business objectives · Project manages major system upgrades and enhancement projects related to company to insurance administration systems.




Job Title: DIRECTOR INSURANCE PLAN SERVICES
Company:
Location: Frisco, TX

Description:
Are you looking to be a leader of a new and innovative team? Are you motivated by challenges and positive changes? Then this is the position for you! The National Insurance Center in Frisco, TX is looking for a Insurance Plan Services Director. The responsibilities of the Director include: Provides operational direction to assigned unit. Coordinates organization related issues with Human Resources and Legal. Analyzes and identifies problems, determines cause and desired resolution. Takes steps necessary to implement resolution. Solves escalated problems related to his/her areas of assignment, and maintains a detailed knowledge of functions in these areas. Conducts regularly scheduled meeting with managers, site directors, Tenet support departments, vendors and payors to communicate issues regarding compliance with established procedures and overall work unit effectiveness. Develops strategies and mechanisms to ensure proper and timely follow-up of claim denials and accurate dispute code information in the Dispute Claims Management system (DCM); ensures a timely appeals process on denied claims for less than expected reimbursement. Prepares annual budget (both operating and capital) and implements the approved budget goals. Reports and justified variances from the budgeted level. Directs the development of tactical plans and operating budgets to achieve strategic PFS goals; monitor progress toward goals throughout the year. Provides on-going guidance and feedback to staff about denial reasons, appeals and their outcomes, and managed care contractual requirements. Participates in Payor meetings. Maintains a thorough understanding of Managed Care concepts including HMO, PPO, POS, EPO and capitation. Manages the aging of disputed A/R to ensure timely follow up and decision-making Hires trains and develops assigned management and others. Partners with Human Resources to maintain consistent policy and manages expectations with recruiting department to ensure staffing levels are met. Conducts performance evaluations, recommends salary adjustments and takes disciplinary action as necessary. Qualifications: 4 year college degree in Healthcare Administration, Business or related area or equivalent experience. MBA/ CPA preferred 6 - 9 years experience in Healthcare Administration or Business Office 2 – 4 years Dispute Resolution experience Advanced knowledge of healthcare A/R, collections, insurance, government programs and appeals Advanced knowledge of Compliance Regulations and Guidelines Advanced knowledge of healthcare reimbursement methodologies Excellent working knowledge of Patient Financial Services operations with specific focus on Inpatient and Outpatient Managed Care and Commercial payors (i.e., Medicare regulations and compliance; HIPAA) Proficient in Microsoft Office (Word and Excel) Advanced writing skills Ability to provide advanced customer service Proven ability in human resource management, including training and coaching staff Ability to plan and implement process improvements Ability to multi-task Strong leadership and organizational skills Strong negotiation skills




Job Title: Director of Insurance and Service Assistance
Company: InsurCrossing
Location: Stevens Point, WI

Description:
Let your experience enhance your career as one the newest additions to our director team! Are you a forward thinker with a passion for implementing systems and strategies that streamline processes? Do you have what it takes to work along side a dynamic team of call center managers while providing vision and guidance toward maximum effectiveness between multiple call centers? We are looking for you to apply your proven management and leadership abilities toward the development and profitable operations by assisting the following units: Domestic and Canadian WSC, Resource Pool, and Signal Claims. Applicants must have proven ability with managing or directing call center operations with a strong background and understanding of insurance and insurance claims. For more information of this job and to Apply Online, please Click Here For more Insur Jobs please Click Here. Note: There will be charge of $29.95 per month (or a lower monthly rate based on agreement length) after your 7 day FREE Trial to use our service.




Job Title: DIRECTOR INSURANCE PLAN SERVICES -Frisco, TX
Company: Tenet Healthcare - Patient Financial Services
Location: Dallas, TX

Description:
Tenet Healthcare Corporation, through its subsidiaries, owns and operates acute care hospitals and numerous related health care services. Tenet's name reflects its core business philosophy: the importance of shared values among partners in providing a full spectrum of health care. Tenet's mission is to be recognized for the passion of our people and partners who provide quality, innovative care to the patients we serve in our communities. Our focus is on leadership, growth and philanthropy. It's a spirit you can experience first-hand and it's a philosophy that can enhance your own approach to health care, and your career goals. From the resources that go with being one of the largest investor-owned health care providers in the U.S., to our multiple locations coast to coast, one thing is clear - Tenet offers significant employment opportunities. So whatever you need to grow as a professional, we'll do our best to provide. All you need to bring is yourself! Job Description Description Are you looking to be a leader of a new and innovative team? Are you motivated by challenges and positive changes? Then this is the position for you! The National Insurance Center in Frisco, TX is looking for a Insurance Plan Services Director. The responsibilities of the Director include: Provides operational direction to assigned unit. Coordinates organization related issues with Human Resources and Legal. Analyzes and identifies problems, determines cause and desired resolution. Takes steps necessary to implement resolution. Solves escalated problems related to his/her areas of assignment, and maintains a detailed knowledge of functions in these areas. Conducts regularly scheduled meeting with managers, site directors, Tenet support departments, vendors and payors to communicate issues regarding compliance with established procedures and overall work unit effectiveness. Develops strategies and mechanisms to ensure proper and timely follow-up of claim denials and accurate dispute code information in the Dispute Claims Management system (DCM); ensures a timely appeals process on denied claims for less than expected reimbursement. Prepares annual budget (both operating and capital) and implements the approved budget goals. Reports and justified variances from the budgeted level. Directs the development of tactical plans and operating budgets to achieve strategic PFS goals; monitor progress toward goals throughout the year. Provides on-going guidance and feedback to staff about denial reasons, appeals and their outcomes, and managed care contractual requirements. Participates in Payor meetings. Maintains a thorough understanding of Managed Care concepts including HMO, PPO, POS, EPO and capitation. Manages the aging of disputed A/R to ensure timely follow up and decision-making Hires trains and develops assigned management and others. Partners with Human Resources to maintain consistent policy and manages expectations with recruiting department to ensure staffing levels are met. Conducts performance evaluations, recommends salary adjustments and takes disciplinary action as necessary. Qualifications 4 year college degree in Healthcare Administration, Business or related area or equivalent experience. MBA/ CPA preferred 6 - 9 years experience in Healthcare Administration or Business Office 2 – 4 years Dispute Resolution experience Advanced knowledge of healthcare A/R, collections, insurance, government programs and appeals Advanced knowledge of Compliance Regulations and Guidelines Advanced knowledge of healthcare reimbursement methodologies Excellent working knowledge of Patient Financial Services operations with specific focus on Inpatient and Outpatient Managed Care and Commercial payors (i.e., Medicare regulations and compliance; HIPAA) Proficient in Microsoft Office (Word and Excel) Advanced writing skills Ability to provide advanced customer service Proven ability in human resource management, including training and coaching staff Ability to plan and implement process improvements Ability to multi-task Strong leadership and organizational skills Strong negotiation skills Shift Type* Days Job Type* MGR




Job Title: Director of Insurance and Service Assistance
Company: InsurCrossing
Location: Stevens Point, WI

Description:
Candidates must be willing and able to travel up to 25% of the time both domestically and internationally. You will be responsible for the overall direction of call center operations, call center development, and the strategic and budgetary planning which includes performing call center analytics, workflow management, diagnosing operational problems and monitoring department performance. Leadership responsibilities will include the management and development of call center management staff. Position Requirements: Qualified candidates should have a bachelor\'s degree or appropriate experience in managing or directing call center operations. For more information of this job and to Apply Online, please Click Here For more Insur Jobs please Click Here. Note: There will be charge of $29.95 per month (or a lower monthly rate based on agreement length) after your 7 day FREE Trial to use our service.




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