Search: Medical Director | Informatics Focused

More than EHR Implementation…

The Medical Director, Health Care Informatics is a forward thinking, tech savvy physician executive. Charged with leading this 55,000 member Medicare health plan into the next level of Informatics sophistication, the Medical Director will, among other things, be responsible for…

– High powered outcomes projects in association with Tulane and LSU
– Being the bridge from the health plan to the physician offices
– Champion IT, Decision Support, and Medical Affairs
– Assisting the VP of Informatics to bridge the clinical gap
– Interacting with peers across the country to bring back best practices
– Mentor Market Medical Directors and Clinical Pharmacists
– Articulate the benefits of EHR adoption to the physician community

Looking to sit in your office and review charts? This is not the job for you! The Medical Director is expected to out in the various company departments, meeting with providers, vendors, and community. This role will be driving enterprise wide change and requires someone who is very report and informatics driven. Results oriented executives will never be bored at Peoples Health.

Medical Director will work from the Corporate offices in Metairie, LA. Metairie is the first suburb of New Orleans, LA, located on the south shore of Lake Pontchartrain between the cities of New Orleans and Kenner. Metairie is also home to the Saints offices and practice fields and just a short drive to the French Quarter, Superdome, Aquarium, Zoo, and Convention Center. Over 30 private and 50+ public schools are located in Metairie.


Apply Here

ABOUT THE COMPANY
Peoples Health has retained MMS Group for this search. Peoples Health is a caring company, totally integrated into the community. They are first a member centric health plan, well respected, not complacent and known as a forward thinking, cutting edge managed care company. You’ll join a strong group of professionals who are passionately engaged in their projects and programs.

Attract Coders NOW to Move from ICD 9 to ICD 10

Your IDC-10 Success Depends on Who You Attract Today

The American Academy of Professional Coders states that most health care organizations are behind the curve with respect to their ICD 10 codes. One of this biggest reasons is that they don’t have enough qualified, professionals coders. As the deadline draws closer the workload will increase.

“You can’t just recruit coders, you need to ‘attract’ them to your organization.” ~ Richard Yadon
Click To Tweet This

Organizations who don’t attract the coders now will not be able to catch up.   In this short video, MMS CEO Richard Yadon talks about what these professional coders are looking for in new opportunities.

 

 

CONTACT US HERE

How the Latest Health Care Innovations Will Change Who You Hire

 Your Next Superstar May Not Be From Health Care

While reading the article about the Health 2.0 showcase in Europe I was reminded of a conversation I had earlier in the day with a health information technology sales executive. She told me that the health information management solutions on the market today will be completely different in two years.  That will require new blood, new thinking, and a different kind of health technology sales executive.

The old saying “You can’t keep doing things the same way and expect a different result” comes to mind.  Just recycling the same sales people from competitors will only move a sales team further behind the curve.

“That will require new blood, new thinking, and a different kind of health technology sales executive.” (Click to Tweet this)

I am already seeing this in other areas of health care, especially in care management.  Movement away from traditional care models is creating a need for non-traditional skill sets.

Sales competency is and will continue to be important. Also important will be the ability to transcend traditional ways of thinking and selling.  Organizations will need to look outside of the health care for their next sales stars.

Health 2.0 Showcase Article

Click here to get more ideas about finding your next superstar.

Job Alert: Director of Business Intelligence

Are you ready to sit in the driver’s seat creating healthcare innovation through the use of Business Intelligence and Analytics? MMS has been chosen as the recruiting partner for a best in class technology leader to fill this key role.  This is a remote based position, we are  searching for BI leadership professionals anywhere in the country.


APPLY HERE


 

 

LEADERSHIP – STRATEGIC AND TACTICAL

Spearhead the Company’s BI and analytics functions

Identify analytics opportunities in Revenue Cycle Management and related areas and provide strategic and
tactical leadership for implementing these opportunities

BUSINESS DEVELOPMENT AND CLIENT SERVICES SUPPORT

Provide appropriate pre-sales support in terms of putting together presentations and proposals for
prospective clients, marketing collateral and in BI/analytics solutions.

Engage with clients to understand business dynamics and to identify up-sell and cross-sell opportunities
Provide appropriate client services support

TECHNICAL SERVICES DELIVERY SUPPORT

 Work closely with the solutions design and development team to ensure timely and qualitative technical
services delivery

Skills, Qualifications and Competencies:

• Bachelor’s / Master’s in Industrial Engineering, Operations Research, Math, Economics, Econometrics
• Overall experience of eight years, with at least five years’ experience in a leadership role, providing
analytics solutions and services
• Experience in Managed Meta data Environment strategies, standards, techniques and approaches
• Experience in data warehousing and RDBMS
• Experience in designing BI and analytics solutions and in providing sales support
• Experience in working with BI tools such as Cognos and SAP
• Strong interpersonal and team management skills
 Exceptional written and oral communication and presentation skills
• Strategic thinking, problem solving and creativity
Desirable:
• Insights into and familiarity with analytics opportunities in the US healthcare industry for Providers, Payers,
Accountable Care Organizations, Health Information Exchanges, Healthcare technology companies
• Knowledge of automation tools
• Knowledge of Software Development Life Cycle
COMPENSATION:
• Attractive base salary + benefits + performance based bonus + stock options

Job Alert: Director of Case Management

The role of the Director, Case Management Support Services is a unique blend of clinical expertise and operations prowess. The job requires a process driven approach, taking on tasks with a sense of urgency and flexibility. The Director must respond to a diversity of projects and tasks by developing an operational plan, implement and manage the project, all the while juggling other competing responsibilities. Team management skills, especially honed from a call center experience, are used often and are a key to the success in this job.

Key Performance Indicators:
Data/Systems Driven, Process Focused, Results Oriented, Organized, Flexible, Able to manage multiple projects or initiatives simultaneously, Experience managing in a highly regulated environment

Experience operationalizing a program (i.e.. call center), Registered Nurse – preferred but not required, Operations experience – in a clinical environment preferred, Comfortable with managing through data , Ability to fully maximize system and staff capabilities

Want to learn more? Contact Richard Yadon 866-371-0687

Build the Companies That Will Reform Health Care!

Become an integral part in building companies in the fastest growing segment of the health care industry by recruiting outstanding talent for them.  You will interface with executives who are managing the care of millions of Americans and you will become part of their growth strategy.

We seek bright, technically savvy, ambitious people to teach the craft of executive recruiting.  You will be trained to become a “talent scout” for our clients.

If you are looking for easy days and a quiet, low-key environment, please DO NOT APPLY!

Great Job for Sales Professionals

Our firm is one of the fastest growing executive search companies in the government sponsored health care segment.   Clients are attracted to us through our industry involvement, our health care expertise, and through our national business talk show.  Account professions in our firm are fully trained through a widely acclaimed learning program based on over 25 years in the recruiting industry.
In addition to world-class training you’ll enjoy zero travel, family friendly culture, and an opportunity to build a real career.  This is ideal for:

  • B2B Salespeople who want to get out of their cars
  • Outside salespeople who want to work from an office
  • Telephone salespeople who want a professionals services job
  • Retail sales people who want more control over their sales career

Furthermore, you will learn the industry from the ground up in a mentored environment by individuals who ranked in the top 10% of our profession.  You will be provided with a defined career path that takes advantage of your strengths.  Sales experience and degree preferred.  No recruiting experience necessary.

B2B Sales Professionals Needed!

Realistic 1st year earnings $40K – $60K (established recruiters in the industry earn an average of $98,315).  We offer base salary and bonuses.

Please apply only if you are within a commutable distance to our main office in Cool Springs (37027).

APPLY HERE

New Search: Chief Marketing Officer

Chief Marketing Officer

Primary Skills: Bachelor’s degree, Sr. Level Marketing Exceutive with Medicare Part D experience.
Description: The Medicare Part D Chief Marketing Officer will develop and implement marketing and communications strategies for enrollment, member communications and member retention. Utilizie multiple communications tools and channels. and work cross-functionally within the Marketing & Communications group and across the organization. Build and supervise a Medicare marketing team to support the growth of diverse markets.

Provide professional expertise on Medicare benefit design and the regulatory environment.
and build effective, strategic working relationships with product, sales, and regulatory leaders. Manages internal stakeholder expectations around marketing plans, messaging, priorities, budget, and time lines. Support various internal departments to develop communication plans for current Medicare members. Develops strategic and tactical marketing plans based on current business strategy. Serve as Subject Matter Expert on promotions, communications, event marketing and campaigns to develop and delivering targeted and effective messages to our target Medicare population. Work with Compliance Department to ensure all marketing communications are compliant with CMS guidelines and regulations. Works closely with retail and insurance company partners to develop and implement an Agent Sales strategy to support sales goals.
Assist with copy writing and reviewing of various marketing materials. Maintains CMS submission library of letters and other CMS communications. Manages submission process with CMS.

Requirements :
Extensive expertise with CMS, Medicare and Part D regulations. 4-year degree in Health Care Administration, Marketing, Business, Communications, or related field. 7+ relevant insurance company, PBM, health care payor, and/or government health plans. Experience in leading and partnering with cross functional teams to accomplish a common goal.

7-10 years relevant insurance company, PBM, health care payor, and/or government health plans

VP Compliance | AZ | Search

Growing specialty health company! Ensure regulatory compliance with state and other government agencies related to the health insurance industry, corporate and its business subsidiaries. Ensure business unit and corporate are in compliance with state and federal program regulations insurance regulations regulatory requirements for business entities and state contract requirements. Maintain and track laws and regulations contract documentations amendments and various compliance measures. Develop policies procedures and processes to comply with state law federal law contract requirements and various standards. Oversee administer and implement various compliance programs including fraud and abuse and HIPAA. Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language. Conduct compliance audits develop and implement corrective action plans and report on achievement of action plans to senior management. Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance Managed Care Organization Medicare and Medicaid regulations and initiatives. Identify evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact. Represent senior management at various committees meetings and seminars

Position requires a Bachelors degree in Public Policy Government Affairs Business Administration or related field. 5+ years of compliance program management and contract experience. Extensive knowledge of state administrative code and regulations state insurance laws and regulations including managed care regulations. Experience with state and federal government agencies accreditation bodies participating provider agreements HIPAA and Third Party Administration (TPA) laws credentialing regulations and prompt pay laws. Master’s or Law degree preferred.


APPLY HERE

Executive Recruiting Contact:
Pamela Ratz DeVille, CPC, CIR, CDR
DL: 866-371-0687 x256
PamD@MedicaidServices.net

Network Development Manager| Search| KY or FL

If building strong provider relationships in a newly opened market appeals to you, this growing organization needs your clinical and contracting experience. This organization is committed to partnering with their behavioral health providers to promote quality customer outcomes through evidence-based practices. Collaborate with clinicians in their own practices to educate and train as well as fine tune operational issues, as well as evaluate trends and identify preferred practice patterns. Maintain external relationships in the community and with state government.

Our client prefers candidate with experience in the market where they will be working as well as clinical training. Requires Bachelor’s degree or equivalent experience in behavioral health or related field. Master’s degree preferred. 5+ years network development, provider relations, or training experience. Claims and reimbursement system experience and provider business operations knowledge. In-depth knowledge of state compliance and regulatory processes/laws. Behavioral health experience in the public sector and supervisory experience preferred. Working knowledge of managed care industry, behavioral health, evidence-based practices, clinical modalities, behavioral health diagnoses, and levels of care preferred. Exceptional growth opportunity with this organization. Licenses/Certifications: Licensed LCSW, LMFT, LPC or RN with behavioral health experience a plus.

2012 is off to fast start, where is your career going?

What to learn more? Click Here

No gazebo building for me…

gazeboI was amazed as my neighbor built a backyard gazebo from the ground up.  He did the foundation, stone, and carpentry work.  The finished product is beautiful. We enjoy sitting under it as the temp cools after a hot Nashville day. The gazebo has me thinking… I would never attempt to build a gazebo. This is no surprise to those that know me well. My wife jokes that I couldn’t nail two boards together at a right angle, and she is right. I have never had any training nor experience building anything so this is one D.I.Y. project that is not for me. On the other hand my neighbor has gotten the right guidance, has learned the right methods and is able to successfully complete the project that we all enjoy.

I believe the same is true for companies that are working to define the right person to hire. Some employers with a little guidance will do a great D.I.Y. job while others will hire a pro to take on the job. In the end all that matters is the final product. So for all the D.I.Y. folks out there here are three steps to building and using job analysis in your hiring process.

1 – Step One: Throw out the job description.  Job descriptions only tell you what a person needs to have. (What they DID) Job analysis works to determine what a person needs to DO.  Big difference.  Who really cares if a person has all the required work experience, education pedigrees, etc, if they can’t get the results you need? 

2 – Step two: Interview all the successful people currently in the same job.  Find out what they have done and what they DO to be successful. Also spend time with any under-performers that you have on the team. When you take the time to understand what types of actions and behaviors are driving successful outcomes you will have the clarity needed to determine who you should be hiring.  

3– Step Three: Write a new job profile.   Not a description, but a profile.  Keep the focus on daily, monthly, yearly activity that your new hire will need to DO.   You can then structure the interview to validate against your position profile.  Try this. Before going into an interview don’t look at the resume, focus instead on asking questions that find out if the candidate can DO, or has DONE, what you need your new hire to accomplish.  Focusing on the DO rather than the DID will help you quickly identify the candidate that will get a fast start.

That’s it, DO vs DID for the D.I.Y. crowd.

 

Richard Yadon is CEO of Managed Medicaid Services.