Lavori

Responsibilities

This role is for someone that is passionate about technology and pragmatic about applying it to healthcare. As an architect, you will help develop the context, the end-to-end view of how the solution fits. As an engineer, you will apply existing and new technologies in novel ways to solve business problems. You will help shape and apply interoperability standards, such as HL7 FHIR, to enable the solutions to scale. You will research and introduce technologies aimed at improving our clinical solutions. For example:


Machine learning to ease the access to the most frequently applicable clinical guidance, used by our nurses, coaches, pharmacists and doctors.
SMART-on-FHIR apps to streamline provider engagement and to help customers and their care-teams manage health goals.
Tailoring of cloud-hosted solutions for telehealth, analytics, patient education and/or secure communication.
The architecture team works closely with business strategists, clinical operations and technology delivery teams, in a scaled-agile environment. As such, the ideal person for this role has experience as a software developer, as a lead engineer (design authority) and is just as comfortable working with senior executives as they are with talking tech. In this role, you will:


Produce conceptual architecture views of end-to-end system designs.
Produce solution options and drive architecture decisions that balance factors such as cost, scalability and long-term viability.
Work with delivery teams to develop technology proofs-of-concept.
Keep security and privacy front-of-mind.
Maintain architecture roadmaps for the clinical domain, based on strategy, trends and current-state technology gaps/needs.
Do you have multiple years of experience in more than a couple of the following roles or domains?


As an IT consultant, such as with IBM or Accenture
As an Enterprise Architect
On large/complex successfully delivered IT programs, as a lead solution architect
In healthcare delivery at a hospital or clinic as IT solution owner/lead
In health insurance, particularly in care management, medical management and clinical support
In healthcare interoperability standards, such as HL7 C-CDA and FHIR
Working with clinical concepts, such as SNOMED-CT, ICD10, CPT and RXNORM
Do you keep practicing and mentoring others in software development and remain versed in current languages and tools, e.g.


Typescript, HTML5, OIDC
Functional programming
AWS Lambdas, API gateway
NoSQL
Do you know your way around a good architecture documentation tool – Visio, Omnigraffle, System Architect, Confluence, etc?


If you’ve read this far and think this sounds like you, please apply.
Career@swagrass.com for an update on your application or to provide your resume you will receive a response.

REQUISITI DI POSIZIONE


Dovrebbe possedere una laurea; preferibilmente nelle aree della finanza, economia, sanità o affari. Una significativa esperienza nel settore sarà considerata al posto di una laurea. Preferibilmente MBA o MHA.
Sono necessari cinque anni o più anni nella contrattazione e nella negoziazione di esperienza che coinvolge sistemi di consegna complessi e organizzazioni.
Esperienza significativa nel guidare e fare da mentore ad altri.
Esperienza nello sviluppo e nella gestione delle relazioni con i fornitori chiave
Conoscenza di complesse metodologie di rimborso, inclusi modelli basati su incentivi fortemente preferiti.
Esperienza dimostrata nella ricerca, costruzione e consolidamento di solide relazioni esterne con i partner fornitori.
Comprensione ed esperienza intima con i modelli di business di ospedali, cure gestite e fornitori.
Giocatore di squadra con comprovata capacità di sviluppare solidi rapporti di lavoro all'interno di un'organizzazione a matrice frenetica.
La capacità di influenzare sia il pubblico delle vendite che quello dei fornitori attraverso forti capacità di comunicazione scritta e verbale. Esperienza con presentazioni formali.
Sono richieste capacità incentrate sul cliente e interpersonali.
Dimostra coraggio manageriale e capacità di manovrare efficacemente in un ambiente in evoluzione.
Elevate capacità di problem solving, processo decisionale, negoziazione, linguaggio contrattuale e acume finanziario.
Conoscenza e utilizzo degli strumenti di Microsoft Office.

DUTIES AND RESPONSIBILITIES

Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
May lead a team with direct reports.
Point person for complex projects related to contracting strategy in the market.
Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements.
Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Swagrass's competitive position.
Creates and manages initiatives that improve total medical cost and quality.
Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
Creates “HCP” agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.
Leads in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
Manages key provider relationships and is accountable for critical interface with providers and business staff.
Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.

Requisiti

5 o più anni di esperienza lavorativa con 1-2 anni di esperienza nella gestione richiesti Dimostrata capacità di raggiungere e superare gli obiettivi di vendita del Piano
Forti capacità analitiche, di pensiero critico, comunicative (scritte e orali) e organizzative Elevato livello di capacità interpersonali per gestire situazioni e informazioni sensibili e riservate Forti capacità di gestione del tempo e di organizzazione che modifica.
Se hai bisogno di un alloggio basato sulla tua disabilità fisica o mentale, invia un'e-mail a: Info@swagrass.com per un aggiornamento sulla tua domanda o per fornire il tuo curriculum in quanto non riceverai una risposta.

Responsibilities

80% Production and people management focus, driving to achieve and exceed the new sales Plan goal
20% strategy focus - 3-6 month planning with agents and senior management to effectively build and drive the market business strategy and drives sales
Plans and executes the local field sales strategy to achieve and exceed the Plan sales goal by supporting representatives in building their book of business and optimizing sales opportunities
Develops, motivates, evaluates and coaches Sales Team on lead generation, conversion rate, community and provider development, sales techniques, compliance and performance goals. Is visible and available to staff to answer questions, evaluate results, resolve escalated calls and give ongoing consistent feedback. Schedules formal one-on-one meetings to review and discuss performance to key metrics; goal attainment and career development.
Drives team usage and understanding of systems, policies, programs and procedures knowledge. Manages and monitors daily workflow and reporting to ensure business objectives are maintained and accurately reported.
Develops and maintains strong collaborative relationships with internal business partners and external key contacts to develop and drive additional lead generation and sales opportunities, maintain excellent lines of communication and provide insight and impact.
Use reporting tools, product knowledge, and sales strategies to coach, mentor and motivate sales agents.

Requisiti

REQUISITI DI POSIZIONE


Dovrebbe possedere una laurea; preferibilmente nelle aree della finanza, economia, sanità o affari. Una significativa esperienza nel settore sarà considerata al posto di una laurea. Preferibilmente MBA o MHA.
Sono necessari cinque anni o più anni nella contrattazione e nella negoziazione di esperienza che coinvolge sistemi di consegna complessi e organizzazioni.
Esperienza significativa nel guidare e fare da mentore ad altri.
Esperienza nello sviluppo e nella gestione delle relazioni con i fornitori chiave
Conoscenza di complesse metodologie di rimborso, inclusi modelli basati su incentivi fortemente preferiti.
Esperienza dimostrata nella ricerca, costruzione e consolidamento di solide relazioni esterne con i partner fornitori.
Comprensione ed esperienza intima con i modelli di business di ospedali, cure gestite e fornitori.
Giocatore di squadra con comprovata capacità di sviluppare solidi rapporti di lavoro all'interno di un'organizzazione a matrice frenetica.
La capacità di influenzare sia il pubblico delle vendite che quello dei fornitori attraverso forti capacità di comunicazione scritta e verbale. Esperienza con presentazioni formali.
Sono richieste capacità incentrate sul cliente e interpersonali.
Dimostra coraggio manageriale e capacità di manovrare efficacemente in un ambiente in evoluzione.
Elevate capacità di problem solving, processo decisionale, negoziazione, linguaggio contrattuale e acume finanziario.
Conoscenza e utilizzo degli strumenti di Microsoft Office.

Responsibilities

DUTIES AND RESPONSIBILITIES

Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
May lead a team with direct reports.
Point person for complex projects related to contracting strategy in the market.
Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements.
Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Swagrass's competitive position.
Creates and manages initiatives that improve total medical cost and quality.
Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
Creates “HCP” agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.
Leads in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
Manages key provider relationships and is accountable for critical interface with providers and business staff.
Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.