The Clinical Account Senior Director is responsible for clinical account management of an assigned group of large (80% 5K+, 20% 1-5K segment) and complex clients. Primary duties may include, but are not limited to: Collaborates with clinical and financial analysis programs leaders to develop and refine program evaluation metrics to assist in determining the drivers of health care costs for client accounts. Evaluates and presents clinical program and financial reports and makes recommendations to the client regarding ways to increase the health of the worker population while reducing healthcare costs. Partners with client leaders and account executives to design benefits and programs which reduce costs while not sacrificing the quality of care. Participates in the development of clinical performance guarantees for assigned clients. Builds effective relationships with internal and external stakeholders. Implements and integrates complex clinical programs using project management principles. Understands business processes and proactively identifies the need for creative and innovative changes to processes to support client needs. Identifies need for and develops new policies, procedures or operational guidelines within clinical account management. Functions as a preceptor for new Clinical Program Director staff. Participates in finalist presentations as requested. Independently able to respond to RFPs.
Director level role requires an unrestricted RN license in applicable state(s). Requires an AS in Nursing and 5 years of current clinical/functional area experience, or any combination of education and experience, which would provide an equivalent background. BA in Nursing and 2 years account management in a managed care setting with experience in sales, account management, program development is preferred. Prior project management or leadership experience.
Sr. Director level role requires a bachelor’ s degree in nursing or other health-related discipline and 10+ years progressively responsible, directly relevant industry experience or any combination of education and experience, which would provide an equivalent background. Advanced education desired. Strong leadership, organizational, and interpersonal skills required, including relationship management, persuasion and negotiation. Excellent written and oral communication skills, including presentation/sales skills. In-depth subject matter expertise on broad spectrum of medical/care management functions. Strong operational knowledge. Understands the issues relevant to the client, the broad organization, MBU, and functional area. Demonstrated ability to interpret and analyze clinical and financial data, draw appropriate conclusions, and develop recommendations relevant to the data.