Medical Director, Decisions Support - Remote (anywhere US)

  • Change Healthcare
  • Remote * (Oklahoma City, OK, USA)
  • Jun 10, 2021
Healthcare Management Telecommuting

Job Description

Medical Director, Decisions Support

What will be my duties and responsibilities in this job?

Post-sales support: Key senior clinical resource to support account management in customer retention and value realization (ROI) for the InterQual product suite for Payer and Providers to include:

In conjunction with account management on assigned strategic clients to develop and execute client specific strategies focused on value demonstration and retention for top tier clients.

In conjunction with account management and sales, help achieve budgeted customer retention.

Assess client risks and involves appropriate business SME’s as appropriate for clearly defined “rescue” activities

Develop executive relationships in both payers and hospitals; this individual should view role as a thought leader, as well as a trusted consultant, who can maximize the value of purchased decision management solutions. This includes building relationships with CMO’s and other physician executives

Lead efforts to ensure assigned clients have a full understanding of our portfolio and workflow is maximized

Develop business cases with analyst support and partner with the analytics team on value analysis to be shared with internal staff and customers as warranted

Lead physician InterQual overviews and “training” sessions for payers’ clients

Thought leadership demonstrated through the following:

Strategic speaking engagements at industry conferences or medical associations

White papers or articles in industry journals

Joint speaking engagements at partner conferences

Serve as senior business executive to bring client experiences back to the development teams to help inform product strategies and roadmaps

Presales Support: Key senior clinical resource to support presales for the InterQual product suite for both Payers and Providers to include:

Supports the validation of the client’s business problem and engages in the Sales process. Serves as the physician presales lead who can discuss all areas of the portfolio

Supports the development of sales collateral creation, product demonstrations, business case discussions where relevant, and presentations to customer executives 

Assists in the development of clinical “solution blueprints” to validate design and workflow fit and impact

What are the requirements needed for this position?

Must be a licensed physician, with health care operations or consulting experience

7+ years hospital, healthcare consulting, or payer expertise, with at least 3 years of management experience. 

What critical skills are needed for you to consider someone for this position?

Must have an in-depth knowledge of industry trends including knowledge of utilization management/care management processes and workflow.

Knowledge/use of InterQual criteria required, prior active clinical practice experience preferred. Knowledge/use of MCG may be considered

Excellent communication skills enabling effective communication at prospect/customer staff, managerial, and executive levels. 

Ability to learn and demonstrate deep knowledge of the entire decision support portfolio

Ability to influence others both internally and externally

MS Office proficiency

What other skills/experience would be helpful to have?

Ability to collaborate in work in cross functional teams

Consultative capabilities

Good listening skills

Problem solving skills

Initiative

Strategic thinking

What are the working conditions and physical requirements of this job?

General office demands/Home office

How much should I expect to travel?

Up to 60% travel requirement

Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.

Minimum Job Qualifications:

Education/Training – Licensed physician, with health care operations or consulting experience 

Business Experience – 7-10 years hospital, healthcare consulting, or payer expertise, with at least 3 years of management experience. Must have an in-depth knowledge of industry trends including knowledge of utilization management/care management processes and workflow. Knowledge/use of InterQual criteria, as well as prior active clinical practice experience preferred.

Specialized Knowledge/Skills

Excellent communication skills enabling effective communication at prospect/customer staff, managerial, and executive levels. Ability to collaborate in work in cross functional teams consultative capabilities  Good listening skills Problem solving skills Initiative Strategic thinking Ability to learn and demonstrate deep knowledge of the entire decision support portfolio Ability to influence others both internally and externally

Skills – must have the following tool/usage level capabilities:

Microsoft Word – can document findings and recommendations in long written form

Microsoft PowerPoint – can document findings and recommendations in an effective manner

Working Conditions:

Environment – General office/home office environment with 50-60% travel requirement.

Physical Requirements– General office and travel-related (both personal and commercial) demands.

Flexibility Available within work Schedule (partial week)

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

Equal Opportunity/Affirmative Action Statement