RN Program Manager, Healthcare Services

48208 Detroit, Michigan Molina Healthcare

Posted 1 day ago

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Job Description

**JOB DESCRIPTION**
**Job Summary**
This position will require an active RN license. Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**KNOWLEDGE/SKILLS/ABILITIES**
+ In collaboration with others, plans and executes internal Healthcare Services projects and programs involving department or cross-functional teams of subject matter experts, delivering products from the design process to completion.
+ Manages programs providing ongoing communication of goals, evaluation, and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to the business.
+ Serves as a subject matter expert and leads programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Works with operational leaders within the business to provide recommendations for process improvement opportunities.
+ Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement quality initiatives within the department as appropriate.
+ Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
**JOB QUALIFICATIONS**
**Required Education**
+ Registered Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.
+ OR Bachelor's or master's degree in Nursing, Gerontology, Public Health, Social Work or related field.
**Required Experience**
+ 5+ years of managed healthcare experience, including 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management.
+ Minimum 2 years of healthcare or health plan supervisory or managerial experience, including oversight of clinical staff.
+ Experience working within applicable state, federal, and third party regulations.
**Required License, Certification, Association**
+ If licensed, license must be active, unrestricted and in good standing.
+ Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
**Preferred Education**
Master's Degree preferred.
**Preferred Experience**
+ 3+ years supervisory/management experience in a managed healthcare environment.
+ Medicaid/Medicare Population experience with increasing responsibility.
+ 3+ years of clinical nursing experience.
**Preferred License, Certification, Association**
Any of the following:
Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $142,549 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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RN Program Manager, Healthcare Services

48093 Warren, Michigan Molina Healthcare

Posted 1 day ago

Job Viewed

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Job Description

**JOB DESCRIPTION**
**Job Summary**
This position will require an active RN license. Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**KNOWLEDGE/SKILLS/ABILITIES**
+ In collaboration with others, plans and executes internal Healthcare Services projects and programs involving department or cross-functional teams of subject matter experts, delivering products from the design process to completion.
+ Manages programs providing ongoing communication of goals, evaluation, and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to the business.
+ Serves as a subject matter expert and leads programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Works with operational leaders within the business to provide recommendations for process improvement opportunities.
+ Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement quality initiatives within the department as appropriate.
+ Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
**JOB QUALIFICATIONS**
**Required Education**
+ Registered Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.
+ OR Bachelor's or master's degree in Nursing, Gerontology, Public Health, Social Work or related field.
**Required Experience**
+ 5+ years of managed healthcare experience, including 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management.
+ Minimum 2 years of healthcare or health plan supervisory or managerial experience, including oversight of clinical staff.
+ Experience working within applicable state, federal, and third party regulations.
**Required License, Certification, Association**
+ If licensed, license must be active, unrestricted and in good standing.
+ Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
**Preferred Education**
Master's Degree preferred.
**Preferred Experience**
+ 3+ years supervisory/management experience in a managed healthcare environment.
+ Medicaid/Medicare Population experience with increasing responsibility.
+ 3+ years of clinical nursing experience.
**Preferred License, Certification, Association**
Any of the following:
Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $142,549 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Manager, Clinical Operations

48076 Southfield, Michigan Hospice of Michigan

Posted 1 day ago

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Job Description

The Manager, Clinical Operations is responsible for clinical leadership, quality, patient satisfaction and management of patient care within a designated geographic region(s), within NorthStar Care Community service areas. Essential Functions Ensures Clinical, Operations, Manager, Business Development, Medical Director, Clinic, Healthcare

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IT Services Sales Executive (Healthcare Payer Vertical) - REMOTE

48208 Detroit, Michigan NTT America, Inc.

Posted 2 days ago

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Job Description

**Req ID:** 332818
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.
We are currently seeking a **IT Services Sales Executive (Healthcare Payer Vertical)** to join our team Remotely. Location is open, preference in the Midwest.
The ideal candidate NTT DATA is seeking has 10+ years of IT Sales experience in the **Managed Services/Professional Services** space and strong relationships in the **Health Plan/Payer** industry. Additionally, a deep understanding of Information Technology and Digital Solutions sales and technology and/or professional services sales. Specific client knowledge of the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. This is primarily a **hunter-type sales** role to generate, qualify, and close new business at the C-Level decision maker level.
**Additional Qualifications and Responsibilities**
- Sells complex managed services, full IT Outsourcing solutions, application services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational services and application management/support.
- History of success in a sales hunter role with a demonstrated ability to acquire net new logos
- A passion for improving healthcare and patient outcomes and recognized as an expert in the Healthcare service solutions industry/industries
- Deep understanding of IT managed and professional services and ability to articulate the value proposition to clients
- Creatively sell into large national Healthcare accounts and ability to demonstrate successful deal closures
- Requires strategic agility to interface and successfully influence C-level executives within the customer organization
- Design and implement sales strategy to achieve sales quota
- Ability to assess potential sales opportunities and develop value propositions
- Applies an extremely deep understanding of business, financials, service offerings, the market, and the needs/challenges of assigned accounts
- Understands and applies long-term vision of business/technology direction for NTT DATA
- Drives services sales strategies that help drive exponential sales growth
- Demonstrated ability & success at meeting and/or exceeding annual quotas of $8 million-Revenue/$6 million-TCV
- Understanding of the competitive landscape for IT services and anticipates how market and competitive factors will influence the selling of NTT DATA services
- Excellent written and verbal communication skills and demonstrates boardroom executive presence
- Ability and willingness to travel 40% of the time
**Basic Qualifications:**
- Bachelor's degree
- Minimum of 10 years of experience in IT Services sales and/or professional services sales
- Minimum of 5 years of experience selling into enterprise Healthcare Payer clients
#USSALESJOBS
**#LI-SGA**
**About NTT DATA**
NTT DATA is a 30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over 3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com ( DATA endeavors to make_** **_ **_accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at_** **_ **_._** **_This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here ( . If you'd like more information on your EEO rights under the law, please click here ( . For Pay Transparency information, please click here ( ._**
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IT Services Sales Executive (Healthcare Payer Vertical) - REMOTE

48208 Detroit, Michigan NTT DATA North America

Posted 3 days ago

Job Viewed

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Job Description

**Req ID:** 332818
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.
We are currently seeking a **IT Services Sales Executive (Healthcare Payer Vertical)** to join our team Remotely. Location is open, preference in the Midwest.
The ideal candidate NTT DATA is seeking has 10+ years of IT Sales experience in the **Managed Services/Professional Services** space and strong relationships in the **Health Plan/Payer** industry. Additionally, a deep understanding of Information Technology and Digital Solutions sales and technology and/or professional services sales. Specific client knowledge of the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. This is primarily a **hunter-type sales** role to generate, qualify, and close new business at the C-Level decision maker level.
**Additional Qualifications and Responsibilities**
- Sells complex managed services, full IT Outsourcing solutions, application services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational services and application management/support.
- History of success in a sales hunter role with a demonstrated ability to acquire net new logos
- A passion for improving healthcare and patient outcomes and recognized as an expert in the Healthcare service solutions industry/industries
- Deep understanding of IT managed and professional services and ability to articulate the value proposition to clients
- Creatively sell into large national Healthcare accounts and ability to demonstrate successful deal closures
- Requires strategic agility to interface and successfully influence C-level executives within the customer organization
- Design and implement sales strategy to achieve sales quota
- Ability to assess potential sales opportunities and develop value propositions
- Applies an extremely deep understanding of business, financials, service offerings, the market, and the needs/challenges of assigned accounts
- Understands and applies long-term vision of business/technology direction for NTT DATA
- Drives services sales strategies that help drive exponential sales growth
- Demonstrated ability & success at meeting and/or exceeding annual quotas of $8 million-Revenue/$6 million-TCV
- Understanding of the competitive landscape for IT services and anticipates how market and competitive factors will influence the selling of NTT DATA services
- Excellent written and verbal communication skills and demonstrates boardroom executive presence
- Ability and willingness to travel 40% of the time
**Basic Qualifications:**
- Bachelor's degree
- Minimum of 10 years of experience in IT Services sales and/or professional services sales
- Minimum of 5 years of experience selling into enterprise Healthcare Payer clients
#USSALESJOBS
**#LI-SGA**
**About NTT DATA**
NTT DATA is a 30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over 3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com ( DATA endeavors to make_** **_ **_accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at_** **_ **_._** **_This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here ( . If you'd like more information on your EEO rights under the law, please click here ( . For Pay Transparency information, please click here ( ._**
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Bleeding Management Hospital Specialty Sales Representative - Detroit, MI

48208 Detroit, Michigan Grifols Shared Services North America, Inc

Posted 4 days ago

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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.
**Overview:**
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 HSSR 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:** 530067
**Type:** Regular Full-Time
**Job Category:** Sales/Sales Operations
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