 
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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CLINICAL CODING BUSINESS ANALYST
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$100K
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#12-11
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The Clinical Coding Specialist must be a subject
matter expert in hospital and physician coding and is responsible for
participation in corporate initiatives related to provider network management,
claims operations, medical management and benefit design.
Under
the general direction of the Manager of Payment Policy, the Clinical Coding
Specialist will play a lead role in the interpretation and presentation of
coding information and will provide coding consultation on a variety of internal
projects. This position requires a high level of understanding and the
ability to interpret clinical data, clinical coding information and should be
generally familiar with health plan operations, medical claims processing,
medical benefit design, provider reimbursement, as well as payment and medical
policy development. Location:
South
Shore. Please contact
Juliet
Kelsey-Holmes, CPC at 617-423-0052. You can fax your
resume to 617-482-6581 or email us at
martingrant@msn.com. |
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ASSOCIATE MEDICAL DIRECTORR
PART TIME - ME
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SALARY OPEN
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#12-10
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Responsible for the development and implementation
of the overall provider engagement strategy in Maine and for supporting the
organization on all aspects of medical performance (cost and quality) related to
clinical services obtained by and offered to the company’s members.
This
individual is the clinical leader for the development and assessment of pay for
performance and incentive programs for the Maine network and will collaborate with other areas such
as clinical policy, utilization management, and pharmacy programs.
This
individual is also accountable for supporting customer/employer needs in the
Maine market from a sales, support, and account
management perspective. In addition, the Associate Medical Director will provide
input to key departments throughout the company as they relate to the
Maine market including, but not limited to Contracting,
Credentialing, Clinical Programs, Provider Payment Policy, and Information
Technology. This part-time position is a 0.4 FTE (16 hours/2 days/week).
Please contact Juliet Kelsey-Holmes, CPC at 617-423-0052.
You can fax your resume to 617-482-6581 or email us at
martingrant@msn.com. |
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EMPLOYEE BENEFITS
CLIENT SERVICE REPRESENTATIVE
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$50 -
80K
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#11-127
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Manage existing book of clients as well as assist in the
sale and implementation of new clients. Proactively advise clients and
provide consistent client service in resolving day to day service issues. such
as eligibility, coverage and claims issues, COBRA assistance, etc.
Assist in the sales process with prospective clients.
Manage and drive the client renewal/marketing process including gathering
information, preparing and analyzing data, developing RFP and client proposal.
Manage
the client open enrollment process including vendor
management and implementation. Maintain strong
carrier relationships.
Assist in cultivating client relationships by
understanding client needs and articulating the company’s services and
resources.
The hours will be 11am-8pm as the client you
will
be working with is on the West Coast. Location: South
of Boston. Please contact
Juliet
Kelsey-Holmes, CPC at 617-423-0052. You can fax your
resume to 617-482-6581 or email us at
martingrant@msn.com. |
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VOLUNTARY BENEFITS SALES DIRECTOR
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$$$ BASE + COMMISSION
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#11-140
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They are
looking for someone with large account experience in the following locations:
CA, NY, FL, KY, TN, AZ, PA and Seattle. Build and cultivate strategic producer relationships with
National Voluntary Consultants, Worksite Brokers, Worksite Specialists, and
alternative distribution channels within assigned territory to generate
qualified sales opportunities. Build and cultivate
strong working relationships with the company’s market segment sales executives
and account managers within assigned territory to generate new Voluntary sales
opportunities through traditional benefit brokers and identify cross-sell
opportunities on existing business. Educate
producers, clients and market segment sales and service partners on the
company’s current and future Voluntary products, services and capabilities; gain
from producers and clients a deep understanding of marketplace needs and wants.
Lead campaigns to improve producer, client and segment
partner relationships through seminars, roundtables and other promotional and
educational programs.
Manage the sales cycle through prospecting, quoting,
implementation, and enrollment of new business; leverage CRM technology to
maximize lead volumes, conversions and sales productivity.
Play
a key role in client service, renewal and enrollment strategies to maximize
persistency of membership and revenue. Participate in
internal and external activities that support the development of a
high-performance sales culture. Experience selling voluntary products to middle
market and national account employers through broker/consultant channels
required.
Insurance/Producer license in required. Please
contact Juliet
Kelsey-Holmes, CPC at 617-423-0052. You can fax your
resume to 617-482-6581 or email us at
martingrant@msn.com.
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INFORMATICS ANALYST
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$$$$
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#11-135
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This position is the key analytic resource to support the
design and development of best-in-market Informatics reporting for Accounts.
Specifically, this position will be responsible for creating
reports and analysis to support the translation of strategies into meaningful
information for all key stakeholders including Account Informatics, Account
Reporting, Trend Management, and Sales Unit. Will also perform
analysis to support the development of strategies such as benchmarking and other
comparative cuts of data. Must perform your own data extractions and manipulations and
must have strong analytical and communication skills in order to identify and
communicate key observations and make recommendations.
Will
be required to work effectively as a team player, manage assignments within
tight deadlines, must be an independent learner, and a self-starter willing to
initiate projects and anticipate customer's needs. Location: Boston.
Please contact Juliet Kelsey-Holmes, CPC at 617-423-0052.
You can fax your resume to 617-482-6581 or email us at
martingrant@msn.com.
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ASSISTANT CONSULTING ACTUARY
EMPLOYEE BENEFITS
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$65 -
110K + BONUS
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#11-115
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You will join the actuarial
team and work closely with senior consultants. Prepare captive
feasibility studies building off of client historical experience and desired
plan designs, administrative and reinsurance arrangements.
Design, rate and underwrite client association medical plan programs including
appropriate captive funding and reinsurance mechanisms.
Prepare client and captive financial projections including stochastic modeling.
Reserving and valuation of employee benefit health, life and disability
coverages including retiree plan FAS 106 valuations. Develop retiree
medical and pension client specific funding solutions utilizing COLI.
Manage long-term alternative funding client relations including annual
stewardship and monthly/quarterly reporting, experience analysis, administrative
and reinsurance agreement negotiations and monitoring.
Develop and maintain TPA, carrier and reinsurance relationships.
Product development initiatives in the areas of funding arrangements, healthcare
reform and employee benefits plan design. Preparation of
client proposals and engagement letters. Peer review the
work of other team members. Location:
Boston. Please contact
Juliet
Kelsey-Holmes, CPC at 617-423-0052. You can fax your
resume to 617-482-6581 or email us at
martingrant@msn.com. |
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SR. CONSULTANT
HEALTH, LIFE & DISABILITY
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$70 -
150K + BONUS
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#11-114
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Work closely with the company
clients and consultants.
Manage client engagements including relationship
expansion and assuring timely, clearly communicated client deliverables.
Prepare captive feasibility studies and captive filings.
Maintain deep regulatory knowledge including ERISA, captive regulation and
healthcare reform.
Develop and maintain carrier and reinsurance
relationships. Product development initiatives in the areas of funding
arrangements, healthcare reform and employee benefits plan design.
Preparation of client proposals and engagement letters.
Peer review the work of other team members. Location:
Boston. Please contact
Juliet
Kelsey-Holmes, CPC at 617-423-0052. You can fax your
resume to 617-482-6581 or email us at
martingrant@msn.com. |
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SENIOR UNDERWRITER / NATIONAL ACCOUNTS
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$80 -
90K
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#11-84
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Responsible for the profitability of an assigned book of business consisting of
credible-rated accounts with a minimum of 80,000 active Medical subscribers in
the 500+ market segment. Will be
responsible for supporting renewal action via medical utilization report
analysis and be able to underwrite multi-site risks.
Will assist in the training/coaching of
less experienced Underwriting associates, will provide support for the
development of Health Informatics Reports on assigned accounts, financial
management reports, and will participate in the development of new products and
rating methodologies and other assigned projects to improve underwriting
operations. Must ably represent
Underwriting while working effectively within a multi-disciplined team on
assigned projects. Location:
Boston.
Please contact Juliet
Kelsey-Holmes, CPC at 617-423-0052. You
can fax your resume to 617-482-6581 or email us at martingrant@msn.com.
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SPECIAL
RISK PRODUCTION UNDERWRITER
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$75 -
85K + 10%
COMPANY BONUS FOR 2012
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#11-76
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They are looking for someone with stop loss and
sales/production experience. Will be involved in varied activities that promote
the achievement of the primary goal: the successful and profitable growth of
national stop loss. May also be assigned a book of business consisting of a
combination of municipal and student groups. Responsible for the proper
analysis and pricing of prospects in the business segment as well as stop loss
quotes for new and renewal business. Provide underwriting support for
financial management reports and other assigned projects that assist in
improving underwriting
operations.
This is a 50% sales; 50% underwriting position. They are
seeking to expand a national stop loss program. The successful candidate will
bring contacts/leads (strongly preferred outside the
New
England region). The position will require travel in order to
establish and nurture these contacts.
Location:
Boston
. Please contact
Juliet
Kelsey-Holmes, CPC at 617-423-0052. You can fax your resume to
617-482-6581 or email us at martingrant@msn.com.
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DIRECTOR
MEDICAL MANAGEMENT
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$100
-
125K
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#11-11
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Responsible for and coordinate all case
management and utilization management/utilization referral functions
including clinical population based programs. Manage Case
Managers/Referral Coordinators who coordinate the care of selected
patient populations across the continuum of illness; promote effective
utilization and monitoring of health care resources; and assume a
leadership role with all internal and external customers to achieve
optimal clinical and resource outcomes. Experience with acute
inpatient levels of care, surgical procedures, and prior authorization
for inpatient and outpatient procedures, services, and supplies.
Solid knowledge and understanding of Medical Expense reduction
strategies and improved member outcomes strategies.
Understanding of and managing health care services across the
continuum of care. Location: North of Boston. Please
contact
Juliet
K. Clark, CPC at 617-423-0052. You can fax your resume to
617-482-6581 or email us at martingrant@msn.com.
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