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Director, Managed Care

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Job ID REQ_95178 FACILITY DrugScan LOCATION Horsham, Pennsylvania

SUMMARY

The Director, Managed Care is responsible for all managed care activities within assigned territory, developing business relationships in managed care and securing competitive status for DRUGSCAN, a part of ACM Global Laboratories & Rochester Regional Health. This position is essential to developing and enhancing relationships with health plans and payers and securing favorable reimbursement terms.

STATUS: Full-Time

LOCATION: Philadelphia, PA

TERRITORY: Central/Eastern United States

SCHEDULE: Monday - Friday

ATTRIBUTES

  • A minimum of five (5) years of experience in managed care for a health system and/or payer required.

  • Existing network of relationships with BCBS plans and key payers located in the Central and Eastern part of the United States preferred.

  • Bachelor’s degree in Business, Health Administration or related field required.

RESPONSIBILITIES

  • Managed Care. Lead managed care initiatives within assigned territory by developing business relationship and securing competitive contracts for DRUGSCAN, a part of ACM Global Laboratories
  • Develop productive relationships with health plans and payers
  • Secure optimal reimbursement terms with payers 
  • Foster open and collaborative communication between clients, and DRUGSCAN leadership such as Finance, Compliance, Sales and Marketing
  • Support company in their marketing and sales objectives
  • Maintain an excellent working knowledge of the DRUGSCAN product portfolio
  • Assist with generating and communicating data to support sales staff
  • Represent DRUGSCAN in a professional, positive manner
  • Implement effective managed care strategies as it relates to contracting, compliance, and pull through programs with sales and marketing
  • Negotiate profitable contracts that meet all business standards
  • Identify, qualify, and target specific healthcare entities in order to effectively grow sales and market share
  • Represent DRUGSCAN & ACM Global Laboratories at various industry functions

LICENSES/CERTIFICATIONS NYS DL - valid New York State Driver's License - New York State Department of Motor Vehicles (NYSDMV)
Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran
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