 
Life, Health & Pension Positions
The following is a partial listing of the exciting Life, Health &
Pension opportunities available through Martin Grant Associates, Inc. |
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PHARMACIST
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$95
- 105K
|
#8-146
|
Responsible for managing the day-to-day
relationship with the specialty pharmacy vendor. Handle issues/concerns
with the vendor, track outstanding issues to ensure appropriate
resolution and work with senior director of pharmacy to monitor/audit
vendor performance. Participate in day-to-day operations of the
pharmacy department and assist with clinical pharmacy services. Review
prior authorization requests according to the company’s medication
request guidelines, pharmacy prior authorization policy and procedures
and NCQA and contractual requirements. Responsible for monitoring of
specialty prior authorizations according to pharmacy prior authorization
policy and procedures. Oversee specialty pharmaceuticals utilization
and review within clinical affairs. Coordinate services between
pharmacy and medical management. Monitor crossover utilization between
pharmacy and medical claims. Work with pharmacy team and the company’s
network management and contracting teams to give the company a best cost
position (when possible) for specialty pharmaceuticals. Person must
have experience in researching drugs from both a business and clinical
perspective and are able to present his/her recommendations. Location:
Greater Boston. Please contact Juliet K. Clark, CPC at 617-423-0052.
You can fax your resume to 617-482-6581 or email me at
martingrant@msn.com. |
|
AVP
PRODUCT DEVELOPMENT - NY
|
$150
- 175K + BONUS
|
#8-149
|
Lead consultative team of subject matter
"experts" to drive experienced producer business growth through:
business planning and execution, coordination of resources and business
partners, relationship building, support of
practice infrastructure development, partnering/team selling, personal
development programs and venues, practice transition support and
packaging and branding. Develop,
maintain and support relationships with field management; working
consultatively as subject matter "expert" for experienced producers.
Develop and manage relationships with internal business partners to
coordinate resources and drive growth. Identify and drive practice
enhancement processes based on identified gaps and needs. Support the
structuring of specific producer career paths and the associated
development opportunities for representatives. Partner with internal
FDG IXP/EXP recruiting teams to help enhance the company’s value
proposition. Work with key partners, develop communication strategy
around programs for both internal and external partners. Work with
internal FDG partners to develop analytics and reporting structures to
measure impact of programs on the business. Location: Long Island,
NY. Please contact Juliet K. Clark, CPC at 617-423-0052. You can fax
your resume to 617-482-6581 or email me at
martingrant@msn.com. |
|
MANAGER, COMPLIANCE
|
$80
- 86K
|
#8-130
|
Under the
general direction of the Chief Compliance Officer, responsible for the
development and implementation of the company’s Billing and Coding
Compliance Plan. Monitor billing and coding compliance activities
conducted by the company’s departments including Health Information
Management, Hospital Billing, Care Management, Physician Organization
billing and coding and others as needed. Conduct coding and billing
audits as required by the company’s Billing and Coding Compliance Plan.
Collaborate with other departments to develop and disseminate current
information on correct billing, coding and documentation practices, to
develop policies and to improve billing and coding systems and
procedures. Assist the Chief Compliance Officer in the development and
implementation of the annual company’s Compliance Plan for all
compliance program elements. Maintain a current knowledge of
regulations, compliance issues and compliance program best practices.
Registered Nurse, Registered Health Information Administrator or
Registered Health Information Technologist strongly preferred.
Location: Metro Boston. Please contact Juliet K. Clark, CPC at
617-423-0052. You can fax your resume to 617-482-6581 or email me at
martingrant@msn.com. |
|
CONTRACT MANAGER-COMMERCIAL
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$80 - 115K
|
#8-126
|
The
position of Contract Manager - Commercial, in the Network Contracting
and Performance Management department, serves as the primary point of
contact with providers to negotiate contracts with network physicians
and hospitals. This individual is the primary lead during negotiations
and is accountable for the financial and legal terms negotiated with the
providers. In addition, will ensure that contract terms are consistent
with the corporate contracting strategy and are negotiated within the
established legal and financial guidelines as established by the
company. Will ensure that any non-standard elements of any contract
negotiation has been properly researched and communicated to key
internal stakeholders and with the appropriate personnel from the
Contract Management and Implementation area, successfully implemented
within the company’s system and processes. Location: Metro Boston.
Please contact Juliet K. Clark, CPC at 617-423-0052. You can fax your
resume to 617-482-6581 or email me at
martingrant@msn.com. |
|
CONSULTANT - COST ALLOCATION
|
$60
- 90K
|
#8-124
|
Lead efforts to write and prepare cost
allocation plans on behalf of the company’s clients. Lead efforts to
prepare and negotiate indirect cost rates. Support and assist with
proposal development related to cost allocation plans, indirect cost
rates and related projects. Assist with conducting training seminars on
related topics and securing new business in this area. Collaborate on
other projects as necessary. Be
familiar with Office of Management and Budget (OMB) Circular A-87,
Medicare and Medicaid Cost Principles and/or cost allocation
methodologies used by government agencies and/or health facilities.
Knowledge of the Federal Medicaid program and other health and human
services programs, including Food Stamps, Title IV-E, Title IV-B, and
Temporary Assistance to Needy Families (TANF). Ability to manage
multiple staff and clients.
Location: Boston. Please contact Juliet K. Clark, CPC at
617-423-0052. You can fax your resume to 617-482-6581 or email me at
martingrant@msn.com. |
|
ACCOUNT
REPRESENTATIVE - NH
|
$40
- 50K
|
#8-118
|
Responsible for new and renewal business
quoting, formal RFP submission, proposal generation, rate and benefit
contract negotiations, open enrollment support, carrier notification,
new business installation, post-open enrollment service on carrier
transaction issues and internal record updating. Ongoing client service
and assistance with all cases, claims research and resolution, carrier
billing and invoice assurance, ancillary claims coordination, enrollment
support, file documentation and issue resolution. Maybe required to
travel as needed. No more than 10-15% throughout the year to attend
client, carrier and corporate events. Please contact Juliet K. Clark,
CPC at 617-423-0052. You can fax your resume to 617-482-6581 or email
me at
martingrant@msn.com. |
|
DIRECTOR COMMERCIAL CONTRACTING
|
$140
- 150K +BONUS
|
#8-115
|
Responsible for negotiating contracts for
commercial hospitals, physician groups and integrated delivery systems.
Will participate in the development of new contracting reimbursement
models and will lead the negotiation of these models with providers.
Will be responsible for achieving a targeted unit cost trend in support
of the company's overall medical cost trend targets. Also be charged
with negotiating operational and contractual terms in support of the
company's objectives and maintain the organization's collaborative
working relationship with providers. Direct a team of contract
managers, some of whom have direct reports and interface closely with
two other Directors in Provider Contracting, the Director of Contracting
Strategy and Analytics as well as the Director of Provider Management.
Location: Metro Boston. Please contact Juliet K. Clark, CPC at
617-423-0052. You can fax your resume to 617-482-6581 or email me at
martingrant@msn.com. |
|
BUSINESS PROJECT PROGRAM MANAGER
|
$74
- 97K
|
#8-106
|
Manage and be accountable for ensuring
student health products and services meet regulatory requirements and
maintain compliance with benefit and system requirements. Serve as a
liaison between student health and corporate compliance resources to
ensure organizational compliance goals are met and activities are
managed effectively. Oversee a team of benefit consultants whose focus
includes: Review of request for
proposals for new and renewing cases to determine product adherence and
identify gaps with regulatory and operational requirements, review of
member marketing materials (brochures, certificates of coverage,
enrollment applications, websites, master policies) for accuracy and
compliance with regulatory and operational requirements, participate in
process to implement new laws and regulations into the student health
business and support process for developing single-case and broader
regulatory filing needs. Location: Metro Boston. Please contact
Juliet K. Clark, CPC at 617-423-0052. You can fax your resume to
617-482-6581 or email me at
martingrant@msn.com. |
|
FIELD BENEFITS ACCOUNT SERVICE REP
|
$52 - 57K
|
#8-85
|
Maintain frequent contact with trust
members statewide by mail, phone, field visits and presentations.
Maintain member satisfaction of existing accounts through
personal contact with appropriate municipal officials, boards and/or
committees. Conduct consultative, educational and informational
sessions with account to promote programs. Participate in development
and presentation of strategies for account renewal and retention. Serve
as liaison between insured municipality, third party
administrators/service providers and the staff. Provide guidance and
assistance to the membership in the management of administrative issues
and problems. Monitor performance of third party administrators/service
providers and notify management of administrative issues and problems as
needed. Act as account ombudsman. Must
have on the road experience meeting with accounts. Location: Boston.
Please contact Juliet K. Clark, CPC at 617-423-0052. You can fax your
resume to 617-482-6581 or email me at
martingrant@msn.com. |
|
SR. ACCOUNT EXECUTIVE - LARGE GROUP -RI
|
$65 - 75K
+ COMMISSION
|
#8-74
|
Will sell
through brokers and cases are primarily 50-500 lives. Mostly handle New
England but can sell anywhere. Location:
Providence, RI. Please
contact Juliet K. Clark, CPC at 617-423-0052. You can fax your resume
to 617-482-6581 or email me at
martingrant@msn.com. |
|
PRODUCER
|
$50K + COMMISSION
|
#8-67
|
Will sell
through brokers and cases are primarily 50-500 lives. Mostly handle New
England but can sell anywhere. Location: South of Boston. Please
contact Juliet K. Clark, CPC at 617-423-0052. You can fax your resume
to 617-482-6581 or email me at
martingrant@msn.com. |
|
RISK MANAGER - ME
|
$65 - 86K
|
#8-58
|
Responsible for managing the risk
management departmental operations including claims management,
interfacing with defense legal counsel, administration of a progressive
risk management program on a daily basis, analysis risk management data,
conducting educational programs, compliance with accreditation standards
and regulatory authorities and enhancement of the quality of care to
improve patient safety. Location: Portland, ME. Please contact Juliet
K. Clark, CPC at 617-423-0052. You can fax your resume to 617-482-6581
or email me at
martingrant@msn.com. |
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