Monster
 

Confidential Posting

 
 
 

Job Summary

Location
Multiple locations
Industries
Biotechnology/Pharmaceuticals
Insurance
Healthcare Services
Job Type
Full Time
Employee
Years of Experience
2+ to 5 Years
Education Level
Bachelor's Degree
Career Level
Experienced (Non-Manager)
Salary
100,000.00 - 225,000.00 USD /year
Competitive Salary, Bonus Potential and career advancement

Mail Order, Specialty Pharmacy & PBM Managed Care National Accounts Team Expansion

About the Job

Mail Order, Specailty Pharmacy & PBM  National Accounts-

Managed Markets Team Expansion

 

Our recent expansion with an increase in business has created an opportunity for developing  a new team of  National Accounts/ Managed Markets Experts. We have 6 postions across the nation and need YOU!

 

If you are HUNTER  and have a Rich Roledex of C Levels in national payors like BCBS, Aetna, Prudential, United Health Care - and regional Payors like Kaiser, Group Health, Care First, Health net, etc across your terrritory and are an expert in developing contractual relationships with Payors in Managed Markets and understand managed care pharmacy - from PBM to Mail Order to Specailty Pharmacy to Home Infusion to Retail, Payor to Patient and all the steps in-between - We need to talk to you!!

 

Expansion opportunity to join one of the nation’s most respected leaders in the delivery of home specialty drugs!!

 

In this pivotal role, you will be:

 

 • Developing strategies to further our market penetration to Payors( HMO, PPO)

•  Keep the teams ahead of reimbursement challenges, changes and CMS initiatives, including Medicare D, CAC Members and patient advocacy groups

 • Provide insight on new product launches and reimbursement

 

What we are looking for: 
 

 • Bachelor Degree- MBA preferred

• 5-7 years experience in Managed Markets/Payor contracting, financial analysis, Managed Care expertise

• Rich Roledex of C Levels in national payors like BCBS, Aetna, Prudential, United Health Care - and regional Payors like Kaiser, Group Health, Fallon, Health net, etc across your terrritory

• DEMONSTRATED contractual expertise- show us your ability to pull through business from the contracts you get in the field-

 • Excellent Strategist- able to demonstrate strong understanding of Specialty Pharmacy, Home Infusion, Mail Order channels

 • Strong background in product marketing, managed care marketing, field sales/ account management leadership, strategic planning, market research, market or sales analytics development, reimbursement trends in Medicare and Medicaid

 • Immunology, Hemophilia or Oncology expertise is a HUGE plus

 

Please forward your resume for immediate consideration  and start 2010 with a great new career  

 

 

*****Only qualified candidates will be contacted****

 

Keywords:

Aetna, Inc.

Affinity Health Plan

 

Alameda Alliance for Health

Allegiance Life & Health Insurance Company

AlohaCare

AMA Insurance Agency

American Fidelity Assurance Company

American Heritage Life

American Medical Security, Inc.

American Republic Insurance Company

American Specialty Health Incorporated

AmeriChoice Health Services, Inc.

Amerigroup Corporation

AmeriHealth

Arcadian Health Plans

Arkansas BlueCross Blue Shield

Assurant Health

AultCare Corporation

Aveta, Inc

AvMed Health Plan

Bankers Life and Casualty Company

Blue Cross & Blue Shield of Louisiana

Blue Cross and Blue Shield of Florida

Blue Cross and Blue Shield of Georgia

Blue Cross and Blue Shield of Illinois

Blue Cross and Blue Shield of Minnesota

Blue Cross and Blue Shield of Montana

Blue Cross and Blue Shield of New Mexico

Blue Cross and Blue Shield of Rhode Island

Blue Cross Blue Shield of Arizona

Blue Cross Blue Shield of Kansas

Blue Cross Blue Shield of Massachusetts

Blue Cross Blue Shield of Nebraska

Blue Cross Blue Shield of North Carolina

Blue Cross of Idaho

Blue Cross of Northeastern Pennsylvania

Blue Shield of California

Blue Cross Blue Shield of Michigan

BlueCross BlueShield of North Dakota

BlueCross BlueShield of Oklahoma

BlueCross BlueShield of South Carolina

BlueCross BlueShield of Tennessee

BlueCross BlueShield of Texas

BlueCross BlueShield of Vermont

Bluegrass Family Health, Inc.

BlueShield of Northeastern New York

Boston Medical Center Healthnet Plan

Bravo Health

CalOptima

Capital Blue Cross

Capital District Physicians´ Health Plan

Care 1st Health Plan

CareFirst BlueCross BlueShield

CareMore Health Plan

CareOregon

CareSource

Celtic Insurance Company

CENTENE Corp.

Chartered Health Plan

CHCS Services, Inc.

Children's Mercy Family Health Partners

Chinese Community Health Plan

CIGNA Health Care

Clarian Health

Colorado Choice Health Plans/San Luis Valley HMO

Commercial Travelers Mutual Insurance Company

Community Care, Inc.

Community Health Network of Connecticut

Community Health Partnership

Community Health Plan of Washington

ConnectiCare, Inc.

Conseco, Inc.

CoreSource

Coventry Health Care, Inc.

DAKOTACARE

Denver Health Medical Plan

Disability Management Services, Inc.

Elderplan

Empire Blue Cross and Blue Shield

ENCOMPASS Health Management Systems

Erickson Advantage

Essence, Inc

Excellus BlueCross BlueShield

Fallon Community Health Plan

Family Care, Inc.

Federated Insurance Companies

First Choice Health Network

First Health

FirstCarolina Care, Inc.

Florida Hospital Healthcare System

Fox Insurance Company

Fresenius Medical Care Health Plan

Geisinger Health Plans

Gen Re LifeHealth

Genworth Financial

Group Health Cooperative

Group Health Cooperative of Eau Claire

Group Health Cooperative of SC Wisconsin

Group Health Incorporated

Guarantee Trust Life Insurance Company

Guardian Life Insurance Company of America, The

Guildnet, Inc.

Gundersen Lutheran Health Plan Inc.

Harvard Pilgrim Health Care

Hawaii-Western Management Group (HWMG)

Health Alliance Plan

Health Dialog

Health First Health Plan, Inc.

Health Net

Health New England

Health Partners – Philadelphia

Health Plan of Michigan 

Health Plan of Nevada

Health Plan of San Joaquin

Health Tradition Health Plan

HealthEquity

Healthfirst, Inc.

HealthMarkets

HealthNow of New York, Inc.

HealthPartners, Inc.

HealthPartners, Inc. 

HealthPlan Services

HealthPlus of Michigan

HealthRight, Inc.

HealthSpring

Healthways, Inc.

Highmark Blue Cross Blue Shield

HIP Health Plans

Hometown Health Plan

Horizon BC/BS of New Jersey

Humana, Inc.

Illinois Mutual Life Insurance Company

Imerica Life and Health Insurance Company

Independence Blue Cross, Philadelphia, PA

Independence Holding Company

Independent Health

Inland Empire Health Plan

Insurance Administrative Solutions, L.L.C.

Integrated Health Plan

Inter Valley Health Plan

JHA, Inc.

John Hancock Financial Services

Kaiser Permanente

KelseyCare Advantage

Kern Health Systems

Keystone Mercy Health Plan, Inc.

L.A. Care

LifeCare Assurance Company

LifePlans, Inc.

Long Term Care Group, Inc.

Long Term Care Partners, LLC

Lovelace Sandia Health System/Lovelace Health Plan

Martin's Point Health Care

MedAmerica Insurance Company

Medco

Medica Health Plan

Medical Card Systems, Inc.

Medical Mutual of Ohio

MemberHealth

Mercy Health Plans

Metlife

Metropolitan Health Plan

Mid Rogue Health Plan

Molina Healthcare

Mount Carmel Health Plan

MultiPlan, Inc.

Munich Re America HealthCare 

Mutual of Omaha Insurance Company

MVP Health Care

National Teachers Associates Life Insurance Company

Nationwide Life Insurance Company

Neighborhood Health Plan

Neighborhood Health Plan of Rhode Island 

Neighborhood Health Providers

Network Health Plan

New West Health Services

New York Life Insurance Company

Olympic Health Management Systems, Inc.

On Lok Senior Health Services

Optum Health

PacificSource Health Plans

Partnership Healthplan of California

Passport Health Plan

Penn Highlands Health Plan

Penn Treaty American Corporation

Peoples Health

PHP Companies d/b/a Cariten Healthcare

Physicians Health Plan of Northern Indiana

Physicians Mutual Insurance Company

Preferred Care Partners

Preferred Health Systems

Preferred Plus of Kansas

PreferredOne

Presbyterian Health Plan

PrimeWest Health Systems

Principal Financial Group

Providence Health Plans

Prudential Life Insurance Co. of America

Puget Sound Health Partners

QualCare, Inc.

QualChoice of Arkansas

Regence BC/BS of Oregon

Regence Blue Shield

Regence BlueCross BlueShield of Utah

Regence BlueShield of Idaho

Resolution Health

Rocky Mountain Health Plans

Samaritan Health Plans

San Francisco Health Plan

SCAN Health Plan

Scott & White Health Plan

Senior Health Insurance Company of Pennsylvania

Senior Whole Health, LLC

Sentara Healthcare

Sharp Health Plan

Silver Script Insurance Company

Southeastern Indiana Health Organization

Starmark

State Farm Insurance Companies

Stonebridge Life Insurance Company

Sun Health MediSun, Inc.

Swiss Re Life & Health America, Inc.

TakeCare Insurance Co.

Teachers Protective Mutual Life Insurance Company

The Lifetime Healthcare Companies

The ODS Companies

Thrivent Financial for Lutherans

Touchstone Health Partnership, Inc.

Transamerica Life Insurance Company

Trillium Community Health Plan

TriWest Healthcare Alliance

Trustmark Insurance Company

Tufts Health Plan

UCare

UMR

UNICARE Life & Health Insurance Company

Unison Administrative Services

United HealthCare

United Teacher Associates Insurance Company

UnitedHealth Group

Unity Health Plans

Univera Healthcare

Universal American Corp

Universal Health Care

University Health Alliance

Unum Group

UPMC Health Plan

Upper Peninsula Health Plan

USAA Life Insurance Company

USHEALTH Group, Inc.

Virginia Premier

VNS Choice

Vytra Health Plans

Wakely and Associates

WellCare Health Plans

WellPoint, Inc.

Wells Fargo

Western Health Advantage

WINHealth Partners

World Insurance Company

www.kelseycareadvantage.com

XL Health

Yale University Health Services

Zurich North America

 

 
 

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