2 Healthcare Management jobs in Las Vegas
Utilization Management Medical Director, Clinical Performance - California license - Remote

89102 Las Vegas, Nevada
UnitedHealth Group
Posted 5 days ago
Job Viewed
Job Description
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
Looking for a chance to drive measurable and meaningful improvement in the use of evidence-based medicine, patient safety, practice variation and affordability? You can make a difference at UnitedHealth Group and our family of businesses in serving our Medicare, Medicaid and commercial members and plan sponsors. Be part of changing the way health care is delivered while working with a Fortune 4 industry leader.
We are currently seeking a Utilization Management Medical Director to join our Clinical Performance team. This team is responsible for conducting hospital and post-acute utilization reviews for the state of California. The Medical Directors work with groups of nurses and support staff to manage inpatient care utilization.
You'll enjoy the flexibility to work remotely * as you take on some tough challenges.
**Primary Responsibilities:**
+ Work to improve quality and promote evidence-based medicine
+ Provide information on quality and efficiency to doctors, patients and customers to inform care choices and drive improvement
+ Support initiatives that enhance quality throughout our national network
+ Ensure the right service is provided at the right time for each member
+ Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review
Success in this technology-heavy role requires exceptional leadership skills, the knowledge and confidence to make autonomous decisions and an ability to thrive in a production-driven setting.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ MD or DO degree
+ Active, unrestricted California state license
+ Current board certification in ABMS or AOA specialty
+ 5+ years of clinical practice experience post residency
+ Solid understanding of and concurrence with evidence-based medicine (EBM) and managed care principles
**Preferred Qualifications:**
+ Hands-on utilization and/or quality management experience
+ Project management or active project participation experience
+ Substantial experience in using electronic clinical systems
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Compensation for this specialty generally ranges from $238,000 to $357,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Looking for a chance to drive measurable and meaningful improvement in the use of evidence-based medicine, patient safety, practice variation and affordability? You can make a difference at UnitedHealth Group and our family of businesses in serving our Medicare, Medicaid and commercial members and plan sponsors. Be part of changing the way health care is delivered while working with a Fortune 4 industry leader.
We are currently seeking a Utilization Management Medical Director to join our Clinical Performance team. This team is responsible for conducting hospital and post-acute utilization reviews for the state of California. The Medical Directors work with groups of nurses and support staff to manage inpatient care utilization.
You'll enjoy the flexibility to work remotely * as you take on some tough challenges.
**Primary Responsibilities:**
+ Work to improve quality and promote evidence-based medicine
+ Provide information on quality and efficiency to doctors, patients and customers to inform care choices and drive improvement
+ Support initiatives that enhance quality throughout our national network
+ Ensure the right service is provided at the right time for each member
+ Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review
Success in this technology-heavy role requires exceptional leadership skills, the knowledge and confidence to make autonomous decisions and an ability to thrive in a production-driven setting.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ MD or DO degree
+ Active, unrestricted California state license
+ Current board certification in ABMS or AOA specialty
+ 5+ years of clinical practice experience post residency
+ Solid understanding of and concurrence with evidence-based medicine (EBM) and managed care principles
**Preferred Qualifications:**
+ Hands-on utilization and/or quality management experience
+ Project management or active project participation experience
+ Substantial experience in using electronic clinical systems
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Compensation for this specialty generally ranges from $238,000 to $357,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
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0
Bleeding Management Hospital Specialty Sales Representative - Phoenix, AZ

89102 Las Vegas, Nevada
Grifols Shared Services North America, Inc
Posted 14 days ago
Job Viewed
Job Description
Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions.
The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key products within the Bleeding Management product portfolio with a primary responsibility for the launch of a new product within identified hospital accounts. The HSSR will play a vital role in the product launch through their engagement with customers related to disease awareness, product discussions and collaboration with key physicians and customer stakeholders to influence uptake for a new standard-of-care and product adoption in the treatment of their patients. The HSSR position requires strong sales and clinical expertise, business acumen and stakeholder relationships.
The Bleeding Management HSSR will focus on sales performance and engagement within the targeted accounts including call points in Anesthesiology, Cardiology, Hospital Pharmacy, Critical Care, Blood Bank and other departments and stakeholders necessary in the sales process. The HSSR is tasked to move at a rapid pace using the provided digital resources for customer engagement. The SSR will need to utilize a CRM & Analytics technology platform for call planning/targeting, field communications, field reporting, sales data analysis, reporting and generating insights.
Other skill sets:
+ Remote engagement
+ Use of analytical data to generate insights
+ Application of data and insights to guide customer focused activities and solutions
+ Proficient use of existing tools like Excel, Word, PowerPoint
+ Use of Technology like digital platforms
**Primary Responsibilities:**
Sales Excellence/Clinical Expertise
+ Consistently demonstrate an in-depth knowledge of the targeted Bleeding Management plasma product portfolio with an advanced comprehension of disease state knowledge as well as treatment approaches. Provide branded product and clinical insights aligned with the product's label to relevant customers.
+ Lead in-depth discussions of disease state, and treatment approaches.
+ Keep abreast of competitive product dynamics, changing treatment practices or guidelines with potential impact on Grifols product positioning or usage.
+ Engage a broad range of audiences with various levels of expertise.
+ Clearly communicate clinical messages that are relevant and specific to each influencer in the decision process.
+ Demonstrate account-based selling skills (including group presentations, etc.). Build relationships in institutions aligned with customer segmentation.
+ Develop physician influencer champions to submit and approve P&T requests to add product to formulary.
+ Develop physician influencer champions to drive a new standard-of-care and protocol changes within their related area of practice.
+ Utilization of corporate resources including the Key Account Manager, Managed Markets, Marketing, MSL, etc.
+ Key Opinion Leader mapping and appropriate relationship with Medical Liaison.
Business Acumen
+ Understand the major fluctuations a market can have and overall plasma economics of the system/institution, e.g. GPO, Distributor, membership, specific account trends.
+ Leverage a knowledge of customer needs, targeting segmentation and behaviors to apply to territory planning with the ability to change course and modify business strategies or plans if needed.
+ Must know how to create a plan of action for key accounts through data analysis. (Recognize buying patterns, trends, lost business, anomalies in purchases, threats, opportunities, etc.) Use this information to have conversations with customers to generate sales.
+ Coordinate with other Therapeutic Sales Representatives to understand the entire book of business (product portfolio). If a hospital does not have a contract or use a Grifols product, how to move the business forward.
Stakeholder Engagement
+ Establish credibility and trust with key targeted customers to become regarded as a valued strategic partner and trusted advisor providing customer-centric solutions. Consistently demonstrate follow through and the responsibility to ensure customer satisfaction is achieved.
+ Strong communication skills to external stakeholders. Strong communication and collaboration with Grifols internal stakeholders to align on national strategy and facilitate pull-through of key account priorities.
+ Biopharma collaboration across therapeutic boundaries to understand local market needs and aligned strategy for pull-through in both pre and post formulary additions and customer-centric solutions.
+ Manage resources to fulfill customer needs and impact pull through, e.g. HEOR or reimbursement specialist.
+ Gather and provide customer insights to Grifols internal stakeholders for development of integrated solutions for the regional or local system/customer/account.
+ Communicate/educate Legislative impacts to regional or local system/institution/account- leverage Corporate Affairs.
Legal, Ethics & Compliance:
+ Ensure appropriate training and alignment to guidance.
**Skills/Qualifications/Education Requirements:** (To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, education, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions)
+ Position requires a BS/BA degree; Healthcare/Life Science and/or business/marketing degree is a plus.
+ 4 years pharmaceutical or biological sales experience is required with direct Hospital specific sales experience with at least 2+ years of recent experience
+ Previous experience influencing standard-of-care or protocol changes within institutional environments a bonus
+ Have a broad base of experience from previous positions with relationships and knowledge of the Hospital/Institutional environment preferred (For Example: Anesthesiology, Cardiology, Pharmacy, Blood Bank, Critical Care, Labor & Delivery, Trauma, etc.)
+ Demonstrated track record of success meeting and exceeding sales goals year-over-year through new customer conversions
+ Understanding of Pharmacy purchasing decisions and their relationship to an IDN, GPO and Distribution partner
+ Must be a self-starter capable of organizing time between many unexpected circumstances involved in day-to-day selling situations
+ Should have excellent communication skills, both written and verbal
+ Should have demonstrated proficiency in Word, Excel, Power Point and be able to perform market analysis presentations.
+ Should be able to effectively utilize a lap top computer on a daily basis for planning, call activity and other territory needs.
+ Overnight travel required
+ Must possess a valid driver's license in the state in which the employee works and meet the Qualifying Driver Criteria of the Grifols Fleet Program which includes but is not limited to a 5 year Motor Vehicle Records (MVR) lookback of major driving violations.
+ Weekend or evening work may be required
*Depending on the area of assignment, directly related experience or a combination of directly related education and experience and/or competencies may be considered in place of the stated requirements. Example: If a job level requires a Bachelor's degree plus 4 years of experience, an equivalency could include 8 years of experience, an Associate's degree with 6 years of experience, or a Master's degree with 2 years of experience.
Third Party Agency and Recruiter Notice:
Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally, agencies may only submit candidates to positions that they have been engaged to work on by a Grifols Recruiter. All resumes must be sent to a Grifols Recruiter under these terms or they will be considered a Grifols candidate.
**Grifols provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability. We will consider for employment all qualified applicants in a manner consistent with the requirements of all applicable laws.**
Learn more about Grifols ( ID:**
**Type:** Regular Full-Time
**Job Category:** Sales/Sales Operations
The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key products within the Bleeding Management product portfolio with a primary responsibility for the launch of a new product within identified hospital accounts. The HSSR will play a vital role in the product launch through their engagement with customers related to disease awareness, product discussions and collaboration with key physicians and customer stakeholders to influence uptake for a new standard-of-care and product adoption in the treatment of their patients. The HSSR position requires strong sales and clinical expertise, business acumen and stakeholder relationships.
The Bleeding Management HSSR will focus on sales performance and engagement within the targeted accounts including call points in Anesthesiology, Cardiology, Hospital Pharmacy, Critical Care, Blood Bank and other departments and stakeholders necessary in the sales process. The HSSR is tasked to move at a rapid pace using the provided digital resources for customer engagement. The SSR will need to utilize a CRM & Analytics technology platform for call planning/targeting, field communications, field reporting, sales data analysis, reporting and generating insights.
Other skill sets:
+ Remote engagement
+ Use of analytical data to generate insights
+ Application of data and insights to guide customer focused activities and solutions
+ Proficient use of existing tools like Excel, Word, PowerPoint
+ Use of Technology like digital platforms
**Primary Responsibilities:**
Sales Excellence/Clinical Expertise
+ Consistently demonstrate an in-depth knowledge of the targeted Bleeding Management plasma product portfolio with an advanced comprehension of disease state knowledge as well as treatment approaches. Provide branded product and clinical insights aligned with the product's label to relevant customers.
+ Lead in-depth discussions of disease state, and treatment approaches.
+ Keep abreast of competitive product dynamics, changing treatment practices or guidelines with potential impact on Grifols product positioning or usage.
+ Engage a broad range of audiences with various levels of expertise.
+ Clearly communicate clinical messages that are relevant and specific to each influencer in the decision process.
+ Demonstrate account-based selling skills (including group presentations, etc.). Build relationships in institutions aligned with customer segmentation.
+ Develop physician influencer champions to submit and approve P&T requests to add product to formulary.
+ Develop physician influencer champions to drive a new standard-of-care and protocol changes within their related area of practice.
+ Utilization of corporate resources including the Key Account Manager, Managed Markets, Marketing, MSL, etc.
+ Key Opinion Leader mapping and appropriate relationship with Medical Liaison.
Business Acumen
+ Understand the major fluctuations a market can have and overall plasma economics of the system/institution, e.g. GPO, Distributor, membership, specific account trends.
+ Leverage a knowledge of customer needs, targeting segmentation and behaviors to apply to territory planning with the ability to change course and modify business strategies or plans if needed.
+ Must know how to create a plan of action for key accounts through data analysis. (Recognize buying patterns, trends, lost business, anomalies in purchases, threats, opportunities, etc.) Use this information to have conversations with customers to generate sales.
+ Coordinate with other Therapeutic Sales Representatives to understand the entire book of business (product portfolio). If a hospital does not have a contract or use a Grifols product, how to move the business forward.
Stakeholder Engagement
+ Establish credibility and trust with key targeted customers to become regarded as a valued strategic partner and trusted advisor providing customer-centric solutions. Consistently demonstrate follow through and the responsibility to ensure customer satisfaction is achieved.
+ Strong communication skills to external stakeholders. Strong communication and collaboration with Grifols internal stakeholders to align on national strategy and facilitate pull-through of key account priorities.
+ Biopharma collaboration across therapeutic boundaries to understand local market needs and aligned strategy for pull-through in both pre and post formulary additions and customer-centric solutions.
+ Manage resources to fulfill customer needs and impact pull through, e.g. HEOR or reimbursement specialist.
+ Gather and provide customer insights to Grifols internal stakeholders for development of integrated solutions for the regional or local system/customer/account.
+ Communicate/educate Legislative impacts to regional or local system/institution/account- leverage Corporate Affairs.
Legal, Ethics & Compliance:
+ Ensure appropriate training and alignment to guidance.
**Skills/Qualifications/Education Requirements:** (To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, education, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions)
+ Position requires a BS/BA degree; Healthcare/Life Science and/or business/marketing degree is a plus.
+ 4 years pharmaceutical or biological sales experience is required with direct Hospital specific sales experience with at least 2+ years of recent experience
+ Previous experience influencing standard-of-care or protocol changes within institutional environments a bonus
+ Have a broad base of experience from previous positions with relationships and knowledge of the Hospital/Institutional environment preferred (For Example: Anesthesiology, Cardiology, Pharmacy, Blood Bank, Critical Care, Labor & Delivery, Trauma, etc.)
+ Demonstrated track record of success meeting and exceeding sales goals year-over-year through new customer conversions
+ Understanding of Pharmacy purchasing decisions and their relationship to an IDN, GPO and Distribution partner
+ Must be a self-starter capable of organizing time between many unexpected circumstances involved in day-to-day selling situations
+ Should have excellent communication skills, both written and verbal
+ Should have demonstrated proficiency in Word, Excel, Power Point and be able to perform market analysis presentations.
+ Should be able to effectively utilize a lap top computer on a daily basis for planning, call activity and other territory needs.
+ Overnight travel required
+ Must possess a valid driver's license in the state in which the employee works and meet the Qualifying Driver Criteria of the Grifols Fleet Program which includes but is not limited to a 5 year Motor Vehicle Records (MVR) lookback of major driving violations.
+ Weekend or evening work may be required
*Depending on the area of assignment, directly related experience or a combination of directly related education and experience and/or competencies may be considered in place of the stated requirements. Example: If a job level requires a Bachelor's degree plus 4 years of experience, an equivalency could include 8 years of experience, an Associate's degree with 6 years of experience, or a Master's degree with 2 years of experience.
Third Party Agency and Recruiter Notice:
Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally, agencies may only submit candidates to positions that they have been engaged to work on by a Grifols Recruiter. All resumes must be sent to a Grifols Recruiter under these terms or they will be considered a Grifols candidate.
**Grifols provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability. We will consider for employment all qualified applicants in a manner consistent with the requirements of all applicable laws.**
Learn more about Grifols ( ID:**
**Type:** Regular Full-Time
**Job Category:** Sales/Sales Operations
View Now
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