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Develop & implement a strategic sales strategy to achieve growth objectives in the assigned territory, utilizing existing business marketing leads & prospect lists. Experience in sales with Supply Chain, Purchasing, & Contracting in the Acute Care market.
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Manage a team across channel strategy, and contracting, site activation, and account management to create and execute strategies aligned with defined access and sales goals. Minimum of 12 years of pharmaceutical industry experience, with significant expertise in at least two of the following areas: Channel Strategy, Finance, Pharmacy, Pricing, Trade, or Market Access.
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Demonstrates some knowledge of Network Design, MAN technologies & designs including DSx, OC-x, WDM, Ethernet, Internet Technologies, Functionality & Services, Voice Network Technologies (including VoIP), Data Networking Technologies, Functionality & Services (LAN, MAN, WAN, VPN), Networking Protocols (with an emphasis on Layers 1,2, & 3), Customer Premise Equipment (voice & data), Business Continuity/Disaster Recovery concepts and E-rate Contracting Processes and Procedures.
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Assist with network development and provider contracting with various providers and ancillary providers. The CMO Group Medicare will provide medical leadership and strategy for the GM business.
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The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. Participate in Quality Operations including Quality Management Committee, monitor initial peer review on quality of care complaintsParticipate in National, Regional and local meetings of organizations of interest to Group MedicareSpeaking engagements to provide thought leadership on behalf of Humana Group MedicareOversee quality improvement and HEDIS/STARS metrics to improvement with corporate and local market resources.
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The CMO Group Medicare will be an integral part of the GM Leadership team and will be responsible to lead and provide thought leadership internally and externally on behalf of Group Medicare. The CMO Group Medicare, requires and in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide.
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Attend current/future client meetings to deliver insights re: Humana clinical model of care and other programs designed to positively impact overall member health. Work with local market utilization management and case management teams for inpatient cases.
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A current and unrestricted license in at least one jurisdiction and willing to obtain licensePhysician (MD/DO), Nurse Practitioner, Physician Assistant, Registered NurseExcellent communication and presentation skills5 years of established clinical experience.
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Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products. Work collaboratively with account and sales teams to deliver our superior clinical experience story to all our audiences.
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Provide guidance for the implementation of regional clinical programs and strategies, as well as, developing and implementing national strategies overall and for individual clients. Ability to thrive in a matrix environment.
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Well versed on financial aspect of various levels of risk bearing contracts. Must be passionate about contributing to an organization focused on continuously improving consumer experiences. Scheduled Weekly Hours.
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Assist with network development and provider contracting with various providers and ancillary providers.
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Assist with network development and provider contracting with various providers and ancillary providers.
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Assist with network development and provider contracting with various providers and ancillary providers.
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Assist with network development and provider contracting with various providers and ancillary providers.
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