Director of Health Plan Sales and Network Management at Medical Associates
Medical Associates · Dubuque, United States Of America · Onsite
- Senior
- Office in Dubuque
Medical Associates is hiring a Director of Health Plan Sales and Network Management to join our management team!
Where You Will Be Working:
Medical Associates Clinic and Health Plans is a multi-specialty group practice combined with a growing health insurance company. Our 1,100 healthcare and health insurance professionals lead the way in providing quality healthcare and top-notch insurance products in Northeast Iowa, Southwest Wisconsin, and Northwest and South Central Illinois. This position is an onsite position located at the Medical Associates Health Plans in Dubuque, Iowa.
What You Will Be Doing:
As the Director of Health Plan Sales and Network Management, you will identify new business opportunities, build, and maintain strong provider networks, and ensure customer satisfaction. You will collaborate with cross-functional teams to deliver tailored health insurance solutions to employers and ensure the lowest net cost through effective negotiation and contract expertise with providers and healthcare organizations.
Essential Functions:
Sales & Business Development:
- Lead the Sales team, establish priorities, identify gaps and create solutions.
- Develop and implement strategies to increase sales of health plan products.
- Prospect and engage new clients, offering customized solutions based on their needs.
- Achieve and exceed sales targets by identifying opportunities for growth in key markets.
Provider Relations & Network Management:
- Lead the Network team, establish priorities, review current workflows and advance where appropriate, identify gaps and create plans to close.
- Build, maintain, and manage relationships with healthcare providers, ensuring the delivery of high-quality care at the lowest net cost.
- Negotiate contracts with hospitals, physicians, and specialists strategically to strengthen provider networks as appropriate to meet company objectives.
- Ensure compliance with industry regulations and maintain high standards of care within the network.
Client & Member Engagement:
- Provide ongoing support to clients and policyholders to ensure their satisfaction with services.
- Educate clients about available health insurance plans and their benefits.
- Resolve complex issues related to claims, billing, and coverage with empathy and professionalism.
Market Analysis & Reporting:
- Analyze market trends, competitor activities, and regulatory changes to identify new opportunities and challenges.
- Report regularly to senior management on sales performance, provider network health, and customer feedback.
Skills you bring:
- Proven experience in health insurance sales, provider relations, or a related field.
- Strong negotiation, communication, and interpersonal skills.
- In-depth knowledge of the healthcare industry, insurance products, and regulations.
- Ability to build and nurture long-term relationships with providers, clients, and stakeholders.
- A proactive and results-driven approach to achieving business objectives.
Benefits Package Includes:
- Competitive compensation package including base and commissions with generous benefit program and relocation
- Single or Family Health Insurance with discounted premium rates for wellness program participation.
- 401k with immediate matching (50% on the dollar up to 7% of pay + additional annual Profit Sharing
- Flexible Paid Time Off Program
- Medical and Dependent Care Flex Spending Accounts
- Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.
Expectations:
- Strategic Planning and Goal Setting: Proactively manage projects and long-term goals, establish timelines and action owners, ensure commitments are met.
- Decision Making and Resource Management: Gather information, evaluate impacts and risks, make timely decisions, manage resources responsibly.
- Leadership and Team Building: Set an example, model respectful and cooperative relationships, ensure team understanding and collaboration, motivate employees, address morale issues.
- Communication and Relationship Building: Communicate openly and effectively, build commitment and loyalty, manage difficult issues with empathy and clarity, promote a non-threatening environment for expressing opinions. Interact professionally, build rapport, treat everyone with respect.
- Innovation and Change Management: Implement new ideas and technologies, support change, remove obstacles, ensure resources are available.
- Performance Management and Development: Set performance and behavioral standards, promote personal accountability, encourage skill development and goal attainment, provide feedback and evaluations, support employee development and succession planning. Remain current with skills and industry knowledge and seek feedback for continual personal development.
- Customer Focus and Commitment to Excellence: Anticipate internal and external customer needs, respond proactively and ensure satisfaction. Demonstrate commitment to excellence, deliver quality work.
- Policy Compliance and Ethical Behavior: Comply with Medical Associates policies and behave in an ethical manner at all times.
Knowledge & Skills:
Education: Bachelor’s Degree with course work in sales, marketing, business administration, social services or related area. Licensed to sell Health Insurance (in any state) and willingness to become licensed in the Tri-State market within 90 days of employment. Clinical background or experience a plus.
Experience: 5-10 years of similar or related experience at a health plan, either in network or business development related roles and at least 3 years’ experience leading teams and people.
Interpersonal Skills: The ability to motivate or influence others is a material part of the job, requiring a significant level of diplomacy and trust. Obtaining cooperation (internally and/or externally) is an important part of the job. A significant level of trust and diplomacy is required, in addition to normal courtesy and tact. Work involves extensive personal contact with others inside and/or outside the organization, and/is usually of a personal or sensitive nature. Work may involve motivating or influencing others. Outside contacts become important (vendor reps, labs, offices, hospital, etc.) and fostering sound relationships with other entities (companies and/or individuals) becomes necessary.
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