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
Good listening skills
Problem solving skills
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/SkillsExcellent 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
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