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Account Manager jobs at HCSC - 46 jobs

  • Client Manager (Remote/ Lancaster, PA)- LHB

    HCSC 4.5company rating

    Account manager job at HCSC

    At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job SummaryResponsible for the overall relationship of a key strategic client, managing day to day activities, problem resolution, and renewal activities. Develop key relationships within internal operational resources to bring solutions, problem solving, consultation to client. Maintain relationships with senior management level contact with Benefits, Human Resources, and financial staff of the client. Also responsible for the service delivery of Luminare Health products and services that ensure client satisfaction. May have some internal project participation. **This role will be based in Lancaster, PA or Telecommute/Remote. Candidates must live within the following states: IL, IN, IA, KS, KY, MI, MO, MT, NM, NC, OK, PA, TN, TX, WI or WV * * Required Job Qualifications: High school diploma or GED equivalent required 3-5 years previous experience of Client Management experience and/or experience in a similar TPA or insurance environment with client facing/client support responsibilities Ability to travel is required (10%-20%) Thorough understanding of self-funding and employee benefit plans; stop loss understanding a plus; Knowledge and understanding of benefit-related federal laws (i.e., ERISA, COBRA, HIPAA,PPACA, etc.) Ability to interact with senior level executives Analytical skills, problem solving skills, reading ability, creative decision-making skills, the ability to comprehend and follow instructions, mathematical ability and time management skills are required Results oriented and self-motivated Excellent written and verbal communications skills are required, as are exceptional organizational skills Excellent presentation skills Preferred Job Qualifications: College degree State insurance license Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! EEO Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Pay Transparency Statement: At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. Min to Max Range: $66,300.00 - $124,500.00 Exact compensation may vary based on skills, experience, and location.
    $66.3k-124.5k yearly Auto-Apply 15d ago
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  • Account Executive II

    HCSC 4.5company rating

    Account manager job at HCSC

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job SummaryThis position is responsible for ensuring continued and increased growth by negotiating renewals or selling products and services to existing customers, understanding customer needs, and providing customer support. Ability and willingness to travel including overnight stays. Job Requirements: • Must have General Lines Agent - Life, Health, and HMO license or obtain General Lines Agent - Life, Health, and HMO license within required time frame per state regulations. • 2 years as a group health insurance account executive OR 6 years experience in group health claims processing, customer service, claims-related, and/or sales and thorough knowledge of managed health care products (PPO, HMO) processes and trends OR Bachelor degree and 3 years customer service/account management experience with thorough knowledge of managed health care products. • 2 years in a position which require decision making, initiative, and self-direction. • Customer Service oriented; detail oriented. • Ability and willingness to travel including overnight stays. • Experience addressing customer needs and building customer relations. • Experience analyzing reports, determining product mix for customers, and analyzing financial information. • Written and verbal communications skills, negotiation skills, and presentation skills. Preferred Job Requirements: • Bachelor's Degree *Please note this is a flex/hybrid role - 3 days/week in office required #LI-CH1 #Flex INJLF Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************** The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range$55,800.00 - $83,600.00 Exact compensation may vary based on skills, experience, and location.
    $55.8k-83.6k yearly Auto-Apply 60d+ ago
  • Client Advocate Executive

    Healthcare Services 4.1company rating

    Remote

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Client Advocate Executive 3M Health Care is now Solventum. At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You Will Make in this Role As a Client Advocate Executive, you will serve as a trusted advisor and strategic partner to some of the most innovative healthcare organizations globally. This role is designed to influence client success at the highest levels, drive measurable business outcomes, and strengthen Solventum's position as a leader in Health Information Systems. The CAE will be expected to cultivate executive-level relationships, drive top quartile client performance, proactively removing barriers inhibiting success and looking for growth opportunities within the organization. The ideal candidate will have hospital/healthcare system workflow and analytics knowledge, a working knowledge of the Health Information Systems product portfolio and the ability to function as an advocate for both the client/partner and HIS through their relationships. Driving best practice performance to assist organizations, achieving top quartile performance, effective revenue cycle processes and clinical efficiencies and outcomes Working with a highly experienced team to drive customer retention/renewals of the Solventum HIS portfolio Nurture and build relationships with CXO, VP and Department Managers to maximize value across the regional market segment. Advise clients on business process and customer workflow improvement that takes place in this changing market segment. Drive cross-functional focus on Customer Outcomes, Value, and Experiences As a Client Advocate Executive, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Client Care & Advocacy - Cultivate executive-level relationships, positioning Solventum as a strategic partner and thought leader. Leverage performance insights to guide client decisions and shape long-term partnership strategies. Coordinate with internal Health Information Systems departments to raise client issues and concerns. Engage with technical teams for any integration needs. Champion continuous improvement through Voice of Customer (VOC) programs, innovation initiatives and process improvements. Serve as the client's advocate within Solventum, articulating partnership value and influencing internal priorities. Elevate client visibility through strategic recognition programs and reference opportunities. Retention and Revenue - responsible for continued partnership and success with Health Information Systems on existing products/services and for recognizing additional business needs/sales opportunities with the client. Be in alignment with sales team as new needs arise. Monitor for emerging risks and escalate to implementation, support, and development functions when warranted. Identify potential products/solutions at risk and escalate to business leaders Identify growth opportunities and collaborate with sales teams to advance strategic initiatives. Drive strategies that protect and expand revenue by aligning client needs with Solventum's solution roadmap. Value Realization- Lead ROI analysis and performance reviews to demonstrate solution impact and inform executive decision-making. Driving in-depth analysis of client performance metrics to inform strategic decisions, with emphasis on product outcomes (top quartile performance) and financial impact. Develop and execute action plans that align client objectives with measurable outcomes. Strategic Execution - Ensure consistent, high-level engagement across executive client leadership to reinforce partnership value. Serve as the Client Advocate for activities across HIS with assigned organization partner. Engage HIS business leaders where appropriate to coordinate activities across multiple HIS departments, engage subject matter experts (SMEs) for respective projects. For providers, conduct current-state workflow and configuration review with client implementing Solventum best practice workflows. Engage in feedback sessions to refine and improve content and workflow, implementation best practice, outstanding decisions that impact client Engages with client to understand their technical environment and any changes that will require Solventum engagement. Strategy and Planning - understanding the client/partners' short and long-term strategy with the goal to further integrate HIS Solutions. Developing consistent ongoing onsite presence. Partner with clients to co-create strategic roadmaps that integrate HIS solutions into their long-term vision. Updates plan as decisions are made internally and externally. Understands strategy, organizational structure, technical architecture changes and the impacts/opportunities for HIS. Ensures client/partner is fully aware of HIS solution roadmaps and assists in planning for both changes in current portfolio workflows and portfolio evolution to solve client problems. Market trends and organizational shifts to identify opportunities for deeper solution alignment. Leadership and Coordination - Responsible for leading the team to ensure account satisfaction and ongoing client engagement. Set the agenda for advocacy engagements, driving conversations that shape client strategy. Lead client meetings and coordinate follow-up on all requested items. Position Solventum as an industry leader by sharing insights, thought leadership, and best practices. Foster innovation that enhances client experience and strengthens competitive advantage. Performance and Analytics Define and track KPIs that measure adoption, satisfaction, and value realization. Deliver executive-level reporting and insights that inform strategic decisions and reinforce partnership impact. Champion participation in industry benchmarks (e.g., KLAS) to validate performance and drive continuous improvement. Responsible for ensuring that baseline data has been secured on clients assigned prior to go live of product/service. Regular analysis of clients analytics and performance data and delivering ROI/Performance reports to the client on a scheduled basis. Actively stay up to date with knowledge of industry changes and product changes. Participate in relevant corporate programs/initiatives, complies with professional and quality standards, complies with corporate policies and procedures, and acts in a manner consistent with Solventum's values and ethical standards. Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's degree or higher from an accredited institution AND seven (7) years of experience as a RHIA, RHIT, CCS, CDI specialist, RN, Sales Executive, CIC, CCDS, or coding certification, OR Associate degree AND at least eleven (11) years of experience as a RHIA, RHIT, CCS, CDI specialist, RN, Sales Executive, CIC, CCDS, or coding certification. Additional qualifications that could help you succeed even further in this role include: Strong understanding of Coding and Clinical Documentation Integrity and the workflow associated with an organization's complete Revenue Cycle Knowledgeable in Electronic Medical Record (EMR) workflows, systems, implementation, and medical professional training Demonstrated ability to successfully manage and maintain client relationships at multiple levels to include C-Suite. Experience consulting with clients in health information systems. Demonstrated knowledge of assigned solutions, services, and products with a high emphasis on ROI metrics: including CMI and other financial metrics Demonstrated industry knowledge. Proficient computer skills Excellent communication skills written and verbal. Ability to find creative solutions and manage difficult situations with diplomacy. Must have strong business acumen, strategic thinking, presentation skills, training skills, and be creative and innovative. The successful candidate will exhibit strong teamwork and collaboration both with the subject matter expert teams, sales executives and across departments/divisions, interpersonal skills, professionalism, sound judgment, dependability, and a strong work ethic. Travel: Occasional travel may be required up to 50-60% Domestic; international travel upon request Relocation Assistance: is not authorized. Location: Remote Must be legally authorized to work in the country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Onboarding Requirement: To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the Solventum new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and related expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or later.Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here. Before submitting your application you will be asked to confirm your agreement with the terms.
    $98k-192k yearly est. Auto-Apply 7d ago
  • Pharmacy Account Manager - Remote

    Emblem Health 4.9company rating

    New York, NY jobs

    Summary of Job Manage and nurture client relationships within EmblemHealth's employer group clients to ensure they have the information, products, and support needed from the health plan. Responsible for building and expanding existing pharmacy service contract accounts. Work with internal departments (sales, claims, contracting, marketing) to serve accounts effectively and ensure compliance. Analyze account and service provision data, developing process improvements as needed. Collaborate with sales and account management on new prospects and current account renewals as relates to the pharmacy benefit. Support sales, marketing, account management and bid support by serving as the main point of contact for non-clinical client inquiries related to pharmacy benefit setup, claims issues, eligibility, and billing. Responsibilities * Identify opportunities for upselling and cross-selling, implementing sales strategies to retain and grow accounts, and tracking sales performance. * Provide oversight to account management teams and internal partners as relates to pharmacy benefits, focusing on member and client satisfaction, trend management, and client retention. * Build and maintain strong relationships with key company decision-makers, understanding healthcare strategies, and ensuring client and member satisfaction. * Work with internal partners to address ongoing service needs, and support Account Management with the Pharmacy Benefit set up and onboarding activities for new clients. * Develop and deliver quarterly business reviews for key clients. * Partner with product teams on annual revisions to each product line ensuring lowest cost, highest value plans in the market. * Direct Pharmacy Benefit Manager (PBM) in plan design activities. * Respond to and resolve client issue escalations and resolution, working with internal partners to ensure timely responses. * Track and resolve member issue trends, developing process improvements within the team. * Ensure client contractual requirements are met and participate in contract renewals. * Interpret and analyze pharmacy claims data to identify trends and provide actionable insights. * Monitor assigned client claims and trends to proactively identify area of potential issue. Work with internal teams to develop mitigation strategies for identified issues. * Perform other related tasks as directed, assigned, or required. Qualifications * Bachelor's degree in business or related field * 5 - 8+ years of relevant professional work experience in account management, customer service, or healthcare (Required) * 6+ years of experience in pharmacy benefits management, healthcare, or managed care (Required) * Prior account management experience (Preferred) * Proficiency in analyzing large datasets and interpreting pharmacy claims data (Required) * Strong analytical and problem-solving skills, with the ability to analyze data, identify trends, and develop data-driven solutions (Required) * Excellent communication and interpersonal skills with the ability to effectively communicate with diverse audiences, including technical and non-technical stakeholders (Required) * Ability to work effectively in a fast-paced, collaborative, cross-functional team / matrixed environment (Required) * Strong proficiency in project management methodologies (Required) Additional Information * Requisition ID: 1000002781 * Hiring Range: $77,760-$149,040
    $77.8k-149k yearly 14d ago
  • Senior Executive Sales Account

    Healthcare Services 4.1company rating

    Remote

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Senior Executive Sales Account - Specialty Provider Markets EHR Vendor Partnership Executive At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role As a Specialty Provider Markets EHR Vendor Partnership Executive, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Managing and expanding current EHR vendor business partnerships. Driving bookings and revenue targets for each respective EHR vendor partnership segment and analyzing/reporting market performance metrics. Identifying and establishing new EHR vendor business partnerships. Leading business partner contract negotiations with support from Solventum legal, product, client services, and leadership. Working cross-functionally with internal Solventum resources and EHR vendor partners to facilitate strategic initiatives and achieve predictable growth. Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's degree and 5 years of work experience in channel partnership development or strategic account management. Demonstrated ability to drive business growth through strategic business partnerships. Ability to build meaningful relationships across the business partnership ecosystem. Outstanding problem-solving, analytical, negotiation, and project management skills. Willingness to travel (20-25%). Additional qualifications that could help you succeed even further in this role include: Proven ability to influence across a matrix organization. Background in healthcare technology, preferably in independent physician practice and/or critical access hospital markets. High energy, self-starter who thrives working on a team. Work Location -Remote Travel: May include up to 25% -domestic travel. Relocation Assistance: No Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Onboarding Requirement: To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the Solventum new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and related expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or later.Applicable to US Applicants Only:The expected compensation range for this position is $168,092 - $205,445, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $168.1k-205.4k yearly Auto-Apply 35d ago
  • Account Manager, Generic/BioSimilar

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Responsible for creating and updating the generic/biosimilar pipeline report to identify cost-saving opportunities for purchasing generics/ biosimilars. Analyze data from AcariaHealth and Centene Pharmacy Services and collaborate with internal pharmacy teams to monitor preferred generics/biosimilars on Centene formularies. Serve as the primary point of contact for generic/biosimilar manufacturers, leading price negotiations and reviewing contracts. Track generic/biosimilar usage and conversions monthly, setting targets for the Therapeutic Interchange team. Perform pricing comparisons between direct and wholesaler costs and work with the AcariaHealth procurement team to ensure accurate drug file updates. Provide support for generic/biosimilar drug initiatives as needed. Developing and implementing plans for generic/biosimilar products, including market assessment, pricing, and competitive analysis Establishing and maintaining relationships with key stakeholders, such as pharmaceutical manufacturers, wholesalers and internal stakeholders Monitoring industry trends and competitor activities to identify opportunities and threats Leading projects, including defining scope, managing resources, and ensuring quality Developing and executing strategic account plans to maximize sales and profits Using data analysis to identify opportunities Negotiating contracts with pharmaceutical manufacturers to meet sales goals Reporting market intelligence and progress to stakeholders Have a working knowledge of biosimilar, specialty and generic pharmaceutical industry, contracting, distribution/wholesaler channels, pricing structures Penetrate assigned manufacturer targets to the highest levels to build relationships necessary to achieve desired objectives Work cohesively with Operations, Procurement and Management in order to achieve sales and margin objectives Represent and promote products and image in a professional, productive manner while adhering to compliance, aggregate spend, travel policies and guidelines Record account information and competitive intelligence through available resources Create reports/updates in Excel, Word, Power Point, SAP, and Microsoft Outlook Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree required; master's degree preferred 5 Years professional experience in Procurement or 2 years of specialty pharmacy industry experience Bachelor's Degree required Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $70.1k-126.2k yearly Auto-Apply 24d ago
  • Senior Clinical Account Executive - Remote - Evernorth - (Pharmacy Payer Sales)

    The Cigna Group 4.6company rating

    Bloomfield, CT jobs

    The Pharmacy Clinical Consulting (IC) Senior Advisor is a key member of the Evernorth Pharmacy Payer Sales and Account Management team, responsible for managing strategic relationships between Evernorth Pharmacy and PBM and Health Plan clients. This role supports Evernorth Pharmacy sales and solutions, driving volume and revenue growth in Specialty, Home Delivery, and Fertility business segments. The Advisor serves as a client expert, sales support resource, and internal leader, helping the team deliver financial targets, strategic insights, and client satisfaction. **Key Responsibilities** **Client** **Relationship Management** + Act as the primary pharmacy subject matter expert for assigned accounts. + Provide clinicaland strategicconsultation and analysis to improvepatientexperience,managecosts, and optimize network performance. + Retain assignedbusiness bookthrough proactive portfolio management and renewal strategies. **Strategic P** **lanning & Execution** + Client relationship management: Serve as the primary liaison for pharmacy services, ensuring client retention and satisfaction. + Strategic Planning: Develop and execute client-specific strategic plans, incorporating clinicalexpertiseand business solutions. + Growth & Retention: Drive expansions, renewals, and revenuegrowththroughexpandedclient relationships. + Represent the organization at industry events and conferences asrequired. **Cross-Functional Collaboration** **, Leadership & Mentorship** + Partner with internal stakeholders (sales, underwriting, implementation) and external brokers/consultantsto achieve client strategicobjectivesand resolve escalated issues. + Lead large cross-functional projects and influence decisions using data-driven insights. + Share best practices and industry standards with peers and clients. + Lead process improvement initiatives and mentor Associate Account Executives, including interviewing prospective candidates **Business Insight** + Apply deep knowledge of business drivers, market trends, and industry innovations to guide actions and advance organizational goals. + Stay current on policies, practices, and competitivelandscapes. **Compliance &** **Expertise** + Maintain current U.S. pharmacist license and ensure compliance with federal/state regulations. + Serve as a subject matter expert onpharmacyprocesses,pricing, and specialty drug pipeline **Minimum** **Qualifications** **& Experience** + **Education** : PharmD or BS in Pharmacy; advanced degrees or residency preferred. + **Licensure** : Current U.S. Pharmacist License (minimum 5 years) + 5+ years in PBM, managed care,specialtypharmacyor clinical pharmacy practice. **Required** **Skills** + Strong business and financial acumen + Superior written,verbal,and presentation skills. + Highly organized, analytical,problem-solvingexpertiseand adept at time management. + Proven ability to influence, lead, negotiate, and build relationships internally and externally. + Ability to travel up to20% as needed **Preferred Skills** + Experience with financial modeling and pricing strategies. + Familiarity with specialty pharmacy operations and disease state management. + Technically savvy (ChatGPT, Microsoft applications,CRMtools,and Internal systems). If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. This role is also anticipated to be eligible to participate in an incentive compensation plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $82k-109k yearly est. 1d ago
  • Provider Engagement Account Manager

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. ***NOTE: For this role we are seeking candidates who live in Louisiana, preferrably, one of the following parishes, Orleans, Jefferson, or Plaquemines*** Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. Serve as primary contact for providers and act as a liaison between the providers and the health plan Triages provider issues as needed for resolution to internal partners Receive and effectively respond to external provider related issues Investigate, resolve and communicate provider claim issues and changes Initiate data entry of provider-related demographic information changes Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics Perform provider orientations and ongoing provider education, including writing and updating orientation materials Manages Network performance for assigned territory through a consultative/account management approach Evaluates provider performance and develops strategic plan to improve performance Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Completes special projects as assigned Ability to travel locally 4 days a week Performs other duties as assigned Complies with all policies and standards Direct Provider Engagement: Conducts regular in-person visits with physicians to provide real-time support, discuss performance metrics, and identify opportunities for improvement in patient care and clinical practices. Value-Based Care Model: Focuses on value-based care model initiatives, collaborating with physicians to identify and align to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care. Performance Management: Uses data analytics to track and monitor provider performance, offering actionable feedback to help physicians optimize care delivery and meet key performance targets. Education/Experience: Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations. Project management experience at a medical group, IPA, or health plan setting. Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $55.1k-99k yearly Auto-Apply 60d+ ago
  • Senior Clinical Account Executive - Remote - Evernorth - (Pharmacy Payer Sales)

    Cigna 4.6company rating

    Remote

    The Pharmacy Clinical Consulting (IC) Senior Advisor is a key member of the Evernorth Pharmacy Payer Sales and Account Management team, responsible for managing strategic relationships between Evernorth Pharmacy and PBM and Health Plan clients. This role supports Evernorth Pharmacy sales and solutions, driving volume and revenue growth in Specialty, Home Delivery, and Fertility business segments. The Advisor serves as a client expert, sales support resource, and internal leader, helping the team deliver financial targets, strategic insights, and client satisfaction. Key Responsibilities Client Relationship Management Act as the primary pharmacy subject matter expert for assigned accounts. Provide clinical and strategic consultation and analysis to improve patient experience, manage costs, and optimize network performance. Retain assigned business book through proactive portfolio management and renewal strategies. Strategic Planning & Execution Client relationship management: Serve as the primary liaison for pharmacy services, ensuring client retention and satisfaction. Strategic Planning: Develop and execute client-specific strategic plans, incorporating clinical expertise and business solutions. Growth & Retention: Drive expansions, renewals, and revenue growth through expanded client relationships. Represent the organization at industry events and conferences as required. Cross-Functional Collaboration, Leadership & Mentorship Partner with internal stakeholders (sales, underwriting, implementation) and external brokers/consultants to achieve client strategic objectives and resolve escalated issues. Lead large cross-functional projects and influence decisions using data-driven insights. Share best practices and industry standards with peers and clients. Lead process improvement initiatives and mentor Associate Account Executives, including interviewing prospective candidates Business Insight Apply deep knowledge of business drivers, market trends, and industry innovations to guide actions and advance organizational goals. Stay current on policies, practices, and competitive landscapes. Compliance & Expertise Maintain current U.S. pharmacist license and ensure compliance with federal/state regulations. Serve as a subject matter expert on pharmacy processes, pricing, and specialty drug pipeline Minimum Qualifications & Experience Education: PharmD or BS in Pharmacy; advanced degrees or residency preferred. Licensure: Current U.S. Pharmacist License (minimum 5 years) 5+ years in PBM, managed care, specialty pharmacy or clinical pharmacy practice. Required Skills Strong business and financial acumen Superior written, verbal, and presentation skills. Highly organized, analytical, problem-solving expertise and adept at time management. Proven ability to influence, lead, negotiate, and build relationships internally and externally. Ability to travel up to 20% as needed Preferred Skills Experience with financial modeling and pricing strategies. Familiarity with specialty pharmacy operations and disease state management. Technically savvy (ChatGPT, Microsoft applications, CRM tools, and Internal systems). If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. This role is also anticipated to be eligible to participate in an incentive compensation plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $67k-91k yearly est. Auto-Apply 3d ago
  • Senior Manager, Medicare Sales - Chicago Metro

    Humana 4.8company rating

    Chicago, IL jobs

    **Become a part of our caring community and help us put health first** With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact your own income potential? If so, we are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan products and educate beneficiaries on our services in a field setting. Our teams also sell Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. Humana has an inclusive and diverse culture welcoming candidates with multilingual skill sets to service our consumers. **This role is** **field** **based, and you will be out and about in the field in the greater Chicago, IL** **area working with your team and meeting members face to face. You must reside in the Chicago, IL area or be willing to relocate to the area.** In this **field** position, you will; coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager, Medicare Sales, must have a solid understanding of the market they serve, how to resolve operational problems and provide creative solutions to increase sales while following CMS guidelines. This role also involves cultivating, maintaining, and building relationships with Humana's customers, both internal and external business partners, along with the community we serve through telephonic, virtual, and face-to-face interactions with individuals and groups. Other responsibilities include developing marketing budgets, and looking for branding opportunities. **Use your skills to make an impact** **Required Qualifications** + **Must reside in the Chicago, IL area or be willing to relocate** + **Active Health Insurance License** + 2+ years of Medicare sales or other related sales experience. + Must be able to travel up to 50% of the time + Ability to lead a team of sales associates and train them in successful sales techniques, educational presentation skills, utilizing technology tools as well as building relationships with communities and medical providers + Strong aptitude for technology with proficiency in MS Office products, various CRM platforms, and various iPhone app capabilities + Must be a strong leader, strong producer + Strong organizational, interpersonal, communication and presentation skills + Ability to adapt and overcome when necessary + Community Engagement/Grassroots experience in marketing Medicare plans in the community + Must be passionate about contributing to an organization focused on continuously improving consumer experiences + This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 25/25/10 limits **Preferred Qualifications** + Active Life Insurance License + Bachelor's Degree + Prior experience working in Medicare and the health solutions industry + Engaged with the community through service, organizations, activities and volunteerism + Project management background or certification a plus + Bilingual with the ability to speak, read and write without limitations or assistance **Humana Perks:** Full time associates enjoy: + Base salary with a competitive commission structure + Medical, Dental, Vision and a variety of other supplemental insurances + Paid time off (PTO) & Paid Holidays + 401(k) retirement savings plan + Tuition reimbursement and/or scholarships for qualifying dependent children. + And much more! **Social Security Task:** Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions to add the information into the application at Humana's secure website. **Virtual Pre-Screen:** As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a HireVue interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes. \#MedicareSalesManager \#MedicareSalesReps Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $84,700 - $115,600 per year This job is eligible for a commission incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About Us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $84.7k-115.6k yearly Easy Apply 60d+ ago
  • Senior Manager, Medicare Sales - Chicago Metro

    Humana 4.8company rating

    Chicago, IL jobs

    Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact your own income potential? If so, we are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan products and educate beneficiaries on our services in a field setting. Our teams also sell Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. Humana has an inclusive and diverse culture welcoming candidates with multilingual skill sets to service our consumers. This role is field based, and you will be out and about in the field in the greater Chicago, IL area working with your team and meeting members face to face. You must reside in the Chicago, IL area or be willing to relocate to the area. In this field position, you will; coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager, Medicare Sales, must have a solid understanding of the market they serve, how to resolve operational problems and provide creative solutions to increase sales while following CMS guidelines. This role also involves cultivating, maintaining, and building relationships with Humana's customers, both internal and external business partners, along with the community we serve through telephonic, virtual, and face-to-face interactions with individuals and groups. Other responsibilities include developing marketing budgets, and looking for branding opportunities. Use your skills to make an impact Required Qualifications Must reside in the Chicago, IL area or be willing to relocate Active Health Insurance License 2+ years of Medicare sales or other related sales experience. Must be able to travel up to 50% of the time Ability to lead a team of sales associates and train them in successful sales techniques, educational presentation skills, utilizing technology tools as well as building relationships with communities and medical providers Strong aptitude for technology with proficiency in MS Office products, various CRM platforms, and various iPhone app capabilities Must be a strong leader, strong producer Strong organizational, interpersonal, communication and presentation skills Ability to adapt and overcome when necessary Community Engagement/Grassroots experience in marketing Medicare plans in the community Must be passionate about contributing to an organization focused on continuously improving consumer experiences This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 25/25/10 limits Preferred Qualifications Active Life Insurance License Bachelor's Degree Prior experience working in Medicare and the health solutions industry Engaged with the community through service, organizations, activities and volunteerism Project management background or certification a plus Bilingual with the ability to speak, read and write without limitations or assistance Humana Perks: Full time associates enjoy: Base salary with a competitive commission structure Medical, Dental, Vision and a variety of other supplemental insurances Paid time off (PTO) & Paid Holidays 401(k) retirement savings plan Tuition reimbursement and/or scholarships for qualifying dependent children. And much more! Social Security Task: Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions to add the information into the application at Humana's secure website. Virtual Pre-Screen: As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a HireVue interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes. #MedicareSalesManager #MedicareSalesReps Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $84,700 - $115,600 per year This job is eligible for a commission incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $84.7k-115.6k yearly Auto-Apply 60d+ ago
  • Dental Sales Executive; U500 (MD/DC/VA)

    Cigna Group 4.6company rating

    Baltimore, MD jobs

    Aligned with a team of Cigna Healthcare Sales Professionals, the Dental Sales Executive (DSE) is positioned as the new business market leader for dental and vision products. The DSE is responsible for selling dental and vision products within their aligned market space. Distribution of these products are through three main channels, dental/vision standalone; packaged with medical; and upselling off existing medical relationships. The aligned DSE will need to find the best path to maximize all distribution channels. The individual needs to be very knowledgeable of our dental and vision line of product and services. This is a ‘hunter' role and requires a minimum of five years of industry experience. Market Strategy Responsibilities Sell new dental and vision business within aligned market assignment. Assume singular responsibility for overall dental growth plan, balancing membership needs and profit levers Meet or exceed growth plan as measured by new membership. Manage the dental sales process for all opportunities to identify the pathway to win and develop a strategy that drives the best outcome. Consult on vision sales opportunities. Review and respond to RFP's by coordinating with internal matrix partners (underwriting, proposal unit, network etc.). Externally present financials and capabilities to the market. Oversee implementation of new dental and vision accounts. Develop and execute a business development plan focused on dental and vision. Plan should be focused on broker development, prospecting and building a strong market presence. Collaborate with aligned Cigna Healthcare Middle Market sales team; develop and implement short and long-term sales strategies for local market; focus on brokers/consultants, prospecting and driving vertical growth (Government Sector, Hospital and more). Develop and execute a prospecting plan focused on the following verticals: Government & Education, Hospital and other avenues. Attend Monthly Business Review sessions with matrix partners, review pipeline, discussion broker development plans and prospecting efforts. Use this meeting to discuss any marketplace needs that are needed to succeed. Use insight into customer needs, local competitive landscape and independent judgment to work with the Dental Organization to drive industry leading Dental Products, Networks and Pricing. Build collaborative partnerships by actively participating in local market management discussions (e.g., growth calls, local strategy development meetings, etc.) Understand competitive and market-level dynamics and implications; independently recognize those that must be brought back to Dental Senior Management Team Maintain all-encompassing knowledge and proficiency in CIGNA Dental's products and capabilities; accomplish this through attendance and active participation in ongoing monthly dental information sessions, monthly dental operating results reviews, training programs, etc. Provide dental updates and training to CIGNA Healthcare sales partners, Producers and Clients Through superior coaching skills, aggressively and proactively promote new dental products and features; provide ongoing coaching to the CIGNA Healthcare sales partners on Dental product positioning and techniques on how to sell against top market competitors Qualifications College Degree or equivalent related experience. 5+ years' experience in Dental benefits. Proven healthcare sales experience is required, managed dental sales experience is strongly preferred. Ability to work strategically with matrix partners to design presale strategies and proposals, as well as problem solve and bring industry intelligence to create new solutions Licensed producer Acceptable driving record with ability to travel frequently and with short notice. Ability to work independently in a complex environment requiring “real time” judgment and discretion, strong analytical skills, common sense, decisiveness and assertiveness. Strong influence skills and ability to work cooperatively with others in a highly matrixed environment. Excellent communication, customer service skills and sales negotiation skills. Financial Savvy; membership growth orientation Excellent interpersonal, communication and negotiation skills, including well-honed public speaking, presentation and writing skills. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. This role is also anticipated to be eligible to participate in an incentive compensation plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $58k-79k yearly est. Auto-Apply 60d+ ago
  • Account Executive II

    Health Care Service Corporation 4.1company rating

    Downers Grove, IL jobs

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for ensuring continued and increased growth by negotiating renewals or selling products and services to existing customers, understanding customer needs, and providing customer support. Ability and willingness to travel including overnight stays. Job Requirements: - Must have General Lines Agent - Life, Health, and HMO license or obtain General Lines Agent - Life, Health, and HMO license within required time frame per state regulations. - 2 years as a group health insurance account executive OR 6 years experience in group health claims processing, customer service, claims-related, and/or sales and thorough knowledge of managed health care products (PPO, HMO) processes and trends OR Bachelor degree and 3 years customer service/account management experience with thorough knowledge of managed health care products. - 2 years in a position which require decision making, initiative, and self-direction. - Customer Service oriented; detail oriented. - Ability and willingness to travel including overnight stays. - Experience addressing customer needs and building customer relations. - Experience analyzing reports, determining product mix for customers, and analyzing financial information. - Written and verbal communications skills, negotiation skills, and presentation skills. Preferred Job Requirements: - Bachelor's Degree *Please note this is a flex/hybrid role - 3 days/week in office required \#LI-CH1 \#Flex INJLF **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $55,800.00 - $83,600.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.
    $55.8k-83.6k yearly 60d+ ago
  • Infusion Account Executive, Chicago- Evernorth

    Cigna Group 4.6company rating

    Chicago, IL jobs

    As a key contributor to our growth strategy, you will build strong relationships with healthcare providers, expand referral opportunities, and support patients transitioning into our specialty pharmacy services. You will bring energy, professionalism, and strategic focus to achieving quarterly performance goals while ensuring an exceptional experience for both patients and partners. Responsibilities Drive sales effectiveness within the assigned territory to meet or exceed individual and team goals. Support the transition of patients to the pharmacy by facilitating communication and providing timely information. Utilize CRM and company tools to identify priority accounts, optimize referral potential, and document account activity. Maintain a consistent call cycle to ensure proactive follow-up, detailed communication, and effective account management. Collaborate with Operations and internal teams to deliver clear, coordinated messaging to offices and patient partners. Build relationships with pharmaceutical partners to enhance collaboration and product knowledge. Assist with gathering required documentation, navigating benefit information, and communicating with physician offices. Manage regional budget responsibilities, ensuring efficient planning and adherence to guidelines. Participate in sales meetings, training sessions, conventions, and in-services as scheduled by Sales Leadership. Report competitive insights, territory issues, and market changes to Sales Leadership. Support additional duties as assigned to meet departmental and organizational objectives. Required Qualifications High school diploma or equivalent. Bachelor's degree plus 4+ years of relevant experience in pharmaceutical, specialty pharmacy, or healthcare sales. May substitute bachelor's degree with 8+ years of relevant experience. Preferred Qualifications Strong communication skills, both written and verbal. Proficiency in Microsoft Office (Excel, Word, PowerPoint). Ability to analyze and interpret territory reports. Knowledge of specialty pharmacy, IVIG, neurology, immunology, and transplant therapies. Highly motivated, adaptable, and able to manage multiple priorities. Willingness to travel as needed. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. This role is also anticipated to be eligible to participate in an incentive compensation plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $57k-77k yearly est. Auto-Apply 10d ago
  • Infusion Account Executive, Chicago- Evernorth

    The Cigna Group 4.6company rating

    Chicago, IL jobs

    As a key contributor to our growth strategy, you will build strong relationships with healthcare providers, expand referral opportunities, and support patients transitioning into our specialty pharmacy services. You will bring energy, professionalism, and strategic focus to achieving quarterly performance goals while ensuring an exceptional experience for both patients and partners. Responsibilities + Drive sales effectiveness within the assigned territory to meet or exceed individual and team goals. + Support the transition of patients to the pharmacy by facilitating communication and providing timely information. + Utilize CRM and company tools to identify priority accounts, optimize referral potential, and document account activity. + Maintain a consistent call cycle to ensure proactive follow-up, detailed communication, and effective account management. + Collaborate with Operations and internal teams to deliver clear, coordinated messaging to offices and patient partners. + Build relationships with pharmaceutical partners to enhance collaboration and product knowledge. + Assist with gathering required documentation, navigating benefit information, and communicating with physician offices. + Manage regional budget responsibilities, ensuring efficient planning and adherence to guidelines. + Participate in sales meetings, training sessions, conventions, and in-services as scheduled by Sales Leadership. + Report competitive insights, territory issues, and market changes to Sales Leadership. + Support additional duties as assigned to meet departmental and organizational objectives. Required Qualifications + High school diploma or equivalent. + Bachelor's degree plus 4+ years of relevant experience in pharmaceutical, specialty pharmacy, or healthcare sales. + May substitute bachelor's degree with 8+ years of relevant experience. Preferred Qualifications + Strong communication skills, both written and verbal. + Proficiency in Microsoft Office (Excel, Word, PowerPoint). + Ability to analyze and interpret territory reports. + Knowledge of specialty pharmacy, IVIG, neurology, immunology, and transplant therapies. + Highly motivated, adaptable, and able to manage multiple priorities. + Willingness to travel as needed. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. This role is also anticipated to be eligible to participate in an incentive compensation plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About The Cigna Group** Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $57k-77k yearly est. 28d ago
  • Clinical Account Executive - Home Health Sales - Remote

    Unitedhealth Group 4.6company rating

    Texas jobs

    **Explore opportunities with Elite Home Health,** a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As a Clinical Account Executive (CAE), you will work within a facility or physician's office to coordinate care for all home health referrals to the agency beginning with the initial referral process. After that initial referral is made, the CAE will continue to coordinate communication regarding the care of all patients being provided care though the home health agency. The CAE is responsible for executing sales strategy of accounts to increase company market share through development and education. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Build and maintain relationships with target referral sources to execute the bring care to more people (growth strategy) + Implement, manage, and document consistent sales activities with multiple contacts in each referral source + Seek to better understand the needs of customers to provide customized solutions and earn new/continued referrals + Expand the healthcare community's use of our services by supporting knowledge and awareness of our solutions + Serve as a liaison between our referral sources (community), our patients/families facing end of life care, and our agencies 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:** + Formalized clinical training from an accredited institution + Licensed in the state of practice + Home Health experience + Solid computer skills, including Microsoft Outlook and CRM software + Proven excellent presentation, negotiation, and relationship-building skills + Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation + Ability to maximize cost effectiveness in the use of resources *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable **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._
    $71.2k-127.2k yearly 29d ago
  • Clinical Account Executive - Home Health Sales - Remote

    Unitedhealth Group 4.6company rating

    Jersey Village, TX jobs

    **Explore opportunities with Elite Home Health,** a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As a Clinical Account Executive (CAE), you will work within a facility or physician's office to coordinate care for all home health referrals to the agency beginning with the initial referral process. After that initial referral is made, the CAE will continue to coordinate communication regarding the care of all patients being provided care though the home health agency. The CAE is responsible for executing sales strategy of accounts to increase company market share through development and education. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Build and maintain relationships with target referral sources to execute the bring care to more people (growth strategy) + Implement, manage, and document consistent sales activities with multiple contacts in each referral source + Seek to better understand the needs of customers to provide customized solutions and earn new/continued referrals + Expand the healthcare community's use of our services by supporting knowledge and awareness of our solutions + Serve as a liaison between our referral sources (community), our patients/families facing end of life care, and our agencies 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:** + Formalized clinical training from an accredited institution + Licensed in the state of practice + Home Health experience + Solid computer skills, including Microsoft Outlook and CRM software + Proven excellent presentation, negotiation, and relationship-building skills + Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation + Ability to maximize cost effectiveness in the use of resources *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable **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._
    $71.2k-127.2k yearly 29d ago
  • Solution Sales Executive - Provider - Remote

    Unitedhealth Group Inc. 4.6company rating

    Eden Prairie, MN jobs

    Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The Solution Sales Executive is a unique and highly interactive position dedicated to a specific business unit relevant to a specific market. This position is responsible for providing all aspects of business development, from expanding client relationships to developing and closing new Business unit opportunities, as well as providing support for specific business unit products/services for the Provider Markets/Business Units they serve. Territories are regionally based and aligned to maximize partnership with Growth and Market peers. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Promote solutions with the highest standards for the Business Unit * Meet and exceed sales revenue targets * Identify risk factors at an early stage, and take effective action to safeguard both our clients, and the organization * Look for opportunities to conduct research, both independently, and in partnership with organizations within our network * Manage multiple concurrent sales opportunities * Analyze market trends, implications and develop strategies to meet or exceed sales targets for the Business Unit * Build Sales Strategy and lead RFP, RFI, RFQ's for new and existing clients * Work effectively within the matrix, promoting trust and communications across the business segments; collaboratively builds solid relationships. * Demonstrate Solid interpersonal and networking skills both internal and external to the company * Build active relationship selling across internal organization, delivery, consulting, senior management, operations-units, external vendors/partners, third-party advisors etc. * Act as a conference presenter and Industry Representative when called upon * Foster a competitive environment and serves as a role model to other employees * Obtain commitments from individuals or groups to ensure organization success * Ability to influence individuals at all levels of the organization influences individuals at all levels of the organization 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: * 10+ years of sales development experience, business development experience, or a combination of both calling on decision makers and economic buyers * Sales and marketing experience including growing a business or portfolio of clients within the healthcare industry * Account relationship management experience * Experience effectively messaging, positioning and presenting information for client impact and influence * Experience effectively negotiating, influencing and collaborating * Proven ability to operate and navigate in a complex environment with a high level of collaboration * Proficiency in Microsoft Office suite and CRM (ex. Salesforce) * Ability to travel up to 50% of time Preferred Qualifications: * Direct revenue-generating experience * Track record of successful sales/ownership over a personal revenue target * Proven ability to meet and exceed goals * Experience conducting presentations and facilitating group discussions * Proven knowledge of Optum Clients * Proven knowledge of Optum Products/Solutions * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The salary for this role will range from $75,000 to $160,000 annually based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable. 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.
    $50k-65k yearly est. 9d ago
  • Solution Sales Executive - Remote

    Unitedhealth Group Inc. 4.6company rating

    Eden Prairie, MN jobs

    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. As a Solution Sales Executive, you will be a strategic individual contributor responsible for driving Supplemental Benefit and Directed Spend growth across Medicare Advantage, Medicaid, and Commercial payer markets. You will lead complex sales cycles with current and prospective payer clients, unseat incumbents, and position HealthyBenefits+ as the premier platform for supplemental benefits, directed spend, and member engagement. This role demands a consultative seller with deep payer market expertise, a solid core of sales methodologies, proven growth success, emotional intelligence, and the ability to translate product capabilities into client value. 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. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Sales Execution * Own the full sales cycle from prospecting to close, targeting payer organizations across MA, Medicaid, and Commercial segments * Lead Proactive Proposal and RFP responses, pricing strategy, partnering with Solutions Consultants to ensure timely, accurate, and strategic proposals * Influence external customers at the VP & C-Suite level as a trusted executive partner * Document opportunity progression and Win Plan details within Salesforce.com * Client Engagement & Relationship Building * Cultivate and develop client and prospective client relationships across executives, decision makers and key influencers * Consult with clients and prospects to understand clients' strategy and business needs to recommend solutions aligned with their program requirements * Drive engagement and delivery of HealthyBenefits+ value story through virtual and on-site executive pitch presentations, demonstrations and proposal presentations * Cross-Functional Collaboration * Partner with Optum Insight growth and account management stakeholders to leverage the breadth of Optum payer solutions and intelligence * Maintain close partnerships with Implementation, Product, Relationship Management teams to ensure solution alignment and client satisfaction 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: * 5+ years of sales and marketing experience including growing a business or portfolio of payer clients within the payer health insurance/financial services industry * 5+ years of experience with supplemental benefits, directed spend, member rewards within Medicare/Medicaid payer markets * 5+ years of experience working with enterprise CRM and Sales tools or methodologies * Experience selling supplemental benefits solutions, including flex card programs, within commercial payer markets. * Proven track record of achieving and exceeding sales targets and driving revenue growth * Driver's License and access to reliable transportation Preferred Qualifications: * Experience working across UHC, Optum and/or UHC lines of business * Demonstrated success building and evolving relationships with internal C-suite and matrixed stakeholder teams * Proven exceptional communication, negotiation, influencing, and interpersonal skills * Proven ability to thrive in a fast-paced, dynamic environment * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The salary for this role will range from $$112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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.
    $50k-65k yearly est. 14d ago
  • Solution Sales Executive II - Remote

    Unitedhealth Group Inc. 4.6company rating

    Eden Prairie, MN jobs

    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. Optum, part of UnitedHealth Group (NYSE: UNH), is a leading information, technology-enabled health services, and software business dedicated to helping make the health system work better for everyone. We work with governments, employers, partners, and providers to care for over 146 million people and share a vision of a value-based system of care that provides compassionate and equitable care. With more than 190,000 people worldwide, Optum delivers intelligent, integrated solutions that help to modernize the health system and improve overall population health. At OptumInsight (OI), we champion continuous innovation to provide software, network, and data analytics, technology-enabled services, advisory, and revenue cycle management offerings to help make health care work better for everyone. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high quality care. Our mission calls us, our values guide us, and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities. Join Optum's expanding Payer sales team as a Solution Sales Representative, responding to increased demand for payment integrity software and services to drive accuracy and compliance. You will work with our loyal client base and expand business within your assigned accounts, leveraging consultative selling skills and building lasting relationships across regional and mid-market health plans. This position is responsible for managing a portfolio of regional and mid-market health plan accounts located nationwide. The role requires approximately 30-50% travel, and candidates may be based anywhere within the United States. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Identify, promote, and sell select payment integrity solutions to assigned payer health plans using consultative selling techniques * Manage a portfolio of regional and mid-market accounts, focusing on higher transaction volume and administrative strength * Build and maintain active relationships internally and externally, collaborating with growth and regional market teams * Represent the company at industry conferences and events * Develop a thorough understanding of assigned products and services and gain product certifications as required * Maintain Salesforce and pipeline hygiene, including building and updating account plans * Achieve sales quotas through closing multi-million-dollar new business contracts * Leverage AI tools as part of sales responsibilities * Coordinate outreach with other departments to ensure alignment across Optum's offerings * Attend trainings and meetings to stay current on products and industry trends 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: * 5+ years of payer sales experience with a proven track record of achieving multi-million-dollar sales quotas * Experience selling software solutions and/or clinical services Proficiency with Microsoft Office Suite and Salesforce. * Demonstrated administrative and metrics-driven focus * Demonstrated commitment to building long-term client relationships and tailoring company offerings to specific client needs through compelling written and financial proposals * Proven self-starter with ability to work autonomously * Proven motivation, eagerness to learn, and adaptability in a dynamic environment * Ability to travel 30-50% Preferred Qualifications: * Payment integrity industry experience or knowledge * Experience with large provider groups, Medicare and Medicaid regulatory environment * Proven ability to leverage AI tools in sales processes * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The salary for this role will range from $75,000 to $160,000 annually based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable. 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.
    $50k-65k yearly est. 30d ago

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