Below is a sample of open positions we are currently working.  If you would like more information about these positions, please click on the 'Respond To' link or call us at 866-371-0687 ext. 110. Don't see a match for you?  We are currently working searches in almost every part of the United States. Click here to visit our Opportunities Page and search more positions or call us to customize a new career search for you.  Req. ID: 01467131-TE-EX - Medical Affairs Director - MD or PH.D Description: Director, Medical Affairs Position Summary: The Director, Medical Affairs will report to the Chief Medical Officer (CMO). This individual will oversee and lead in developing effective business relationships, sharing vital clinical concepts and discussing new and innovative data with key thoughts leaders, investigators, potential speakers and KOLs. The Director, Medical Affairs will oversee and manage patient recruitment, enrollment and retention in all current and future clinical studies through effective scientific and clinical presentations. The Director of Medical Affairs will participate in the development and submission of regulatory documents including summary reports, INDs, and NDAs. The Director, Medical Affairs is responsible for managing and will oversee the functions of the Regional Medical Scientists (RMS). Core Responsibilities : Manager and coordinate with Clinical Trial Managers in the identification of new potential healthcare professionals Responsible for communications between clinical sites, CTM and monitors Organize expert panel meetings and input on selected topics Organize and conduct regional/national advisory board meetings as needed Identify new potential investigator sites Clinical Protocol Development and Writing Clinical Data Analysis Oversee in the selection of key thought leaders, advocates and potential speakers Attend major State and National Urology and Oncology meetings to meet with key thought leaders, advocates, investigators and potential speakers Initiate, plan and develop projects and lead teams of scientists to address relevant scientific questions Oversee dissemination of scientific information and coordinate all educational / CME activities Provide marketplace information to sales and marketing team Be knowledgeable of industry specific regulatory practices and procedures that impact business activity Preferred Qualifications M.D.degree, and or Ph.D, with solid experience in related field Minimum of 8-10 years related experience Ability to interpret, summarize, and convey information from clinical studies Effective communicator and public speaker; excellent written and verbal presentation skills Ability to work as part of a team, in both a leadership role and as a contributing member of the company Strong interpersonal skills and the ability to work with both peers and subordinates Compensation: The salary and benefit package will be very attractive and highly competitive with prevailing market standards.   Rate: $175K to $225K,   Job Type: Permanent,   US Exp: 5,   Number Of Openings: 1,   Location: Knoxville, TN Respond to this requirement.     Req. ID: 01508979-TE-EX - Director Provider Metrics & Analytics Description: National Group Health Insurance carrier is looking for a Director Provider Metrics & Analytics. This is a new position and is point in a new area growing within the organization. We are seeking a strong leader with experience in provider metrics, analytics, and informatics in a healthcare setting. You will serve as a subject matter expert lead on provider performance and other business initiatives. This would include effectiveness (quality) and efficiency (cost/utilization) analysis and interpretation, data extraction, display of resulting physician data on web, and ensure documentation of complex business tasks and processes. This position requres someone who knows not just how to gather data, but also understands, interprets, and applies data as it relates to internal and external audiences and business units. You will also lead and develop and manage projects and resources to meet defined deliverables and ensure efficient business operations. Manage and participate in analysis of physician effectiveness (quality) and efficiency (cost/quality) reporting Consult with other business areas to define business needs and prioritize projects Utilize Access, Excel, and SQL (accessing Humana's EDW) and other software applications to query data, aggregate physician outcomes, create flowcharts and build reports for internal and external stakeholders Collect, analyze and communicate competitive intelligence to influence departmental strategies Prepare and present recommendations to both internal and external audiences Research, document, and analyze multi-faceted data with statistical, or financial emphasis, identify and/or provide data trends Resolve general issues within Humana's data information Key Competencies Leadership: You inspire extraordinary results by: engaging associates, valuing diversity and shaping culture to support a high performance environment. Engaging the Customer: You easily establish rapport with others by valuing their concerns and by taking personal responsibility to create a resolution. After ensuring an understanding of those concerns, you provide appropriate information and exceed expectations. Acts Strategically: You foster a consistent understanding of strategy, translate it into defined plans, and "stay the course" to implement it, while anticipating and identifying where change is needed. Leveraging Technology: You are technological savvy and know how to appropriately share and use your knowledge to improve business results. Role Essentials Bachelor's degree in Business, Economics, Finance or related fields Prior experience in data management, provider performance measurement, and data extraction Progressive leadership experience in the health service industry, healthcare finance or healthcare related consulting Previous leadership experience with health care provider reporting, including knowledge and experience with effectiveness (quality) and efficiency (cost/utilization) analysis and reporting Advanced proficiency in VBA, Excel & Access required Statistical and mathematical aptitude, as demonstrated by coursework or work experience Role Desirables Experience with healthcare informatics, actuarial science and/or provider contracting Comprehensive knowledge of relational databases and programming with SQL Master's degree in Business, Economics, Finance or related fields   Rate: $95K to $130K,   Job Type: Permanent,   Number Of Openings: 1,   Location: Louisville, KY Respond to this requirement.     Req. ID: 01517649-TE-EX - Vice President of Nursing Description: POSITION TITLE: Vice President of Nursing POSITION LOCATION: Nashville, Tennessee POSITION SUMMARY: Serving our population since 1950, we have grown to provide inpatient, outpatient, rehabilitation and emergency care in addition to a host of specialty services such as The Heart Center and The Cancer Center. With over 140 physicians providing care in 36 specialties, we are dedicated to bringing quality care close to home. This position is responsible for providing leadership, direction, and administration for the Emergency Department, Women s services, Same Day Care Unit, Procedure Room, Surgical Services, Med-Surg Floors, Pediatrics, Musculoskeletal/Neuro Unit, CV Unit, and Pulmonary Unit, Diabetes Center, Home Health, Rehab Center, Central Supply, ICU and Nursing Administration. Total responsibility for 1,500 FTE's and 16 direct reports. POSITION REQUIREMENTS: Licensed as a registered nurse in the state of Tennessee with a master's degree in nursing, business administration, or healthcare administration. Candidate must also possess five years of prior management experience.   Rate: $100K to $130K,   Job Type: Permanent,   US Exp: 5,   Number Of Openings: 1,   Location: Nashville, TN Respond to this requirement.     Req. ID: JF-001-EX - Executive Director Description: The Executive Director, in coordination with the Medical Director, will be accountable for the administrative, managerial, financial, and operational activities of the center. This includes but is not limited to recruiting, hiring and supervising personnel and coordinating efficient utilization of staff time. Ensures development and maintenance of records and reports, essential to providing safe care to patients. These include statistics, reference sources, referral patterns, legal documentation, infection control, quality assurance, medical records, billing process and annual budget preparation. Develops written policies and procedures, which serve as operational guidelines for the delivery of surgical services in conjunction with the Medical Director and the Center’s Advisory Board. Develops marketing plans to increase the Surgery Center’s profitability and market share. Ensures staff development by providing orientation, regularly scheduled in-service programs, and is actively involved in professional organizations. Obtains all necessary licensing and certification in coordination with the various third-party agencies and maintains licensing requirements. Maintains and updates Medical Staff Credential file. Maintains a positive working relationship with all clients. EDUCATION: Graduate of accredited nursing school; BSN; Masters preferred EXPERIENCE: A qualified candidate is an Indiana licensed Registered Nurse with at least five years of progressive management experience in a Perioperative environment. The candidate will have the managerial ability to direct all activities of the center, excellent interpersonal, leadership and communication skills. The candidate should be effective in a team-oriented environment, self-confident, decisive and a leader who does not shy away from difficult issues. Qualifications include knowledge of budgets and financial management, knowledge of state and federal regulations, ability to plan and direct operational activities, and a strong working philosophy of providing unsurpassed service to physicians and patients. Ambulatory surgery center experience is strongly preferred.   Rate: DOE,   Job Type: Permanent,   Number Of Openings: 1,   Location: IN Respond to this requirement.     Req. ID: Job-0361 - PBM Vice President, Sales and Marketing Primary Skills: Sales and Marketing Leadership, Strong sales skills, Understanding of PBM, Medicare Part D Secondary Skills: Ability to learn quickly, strong interpersonal communications skills Description: Rare high-profile career opportunity for a sales and marketing executive to take the reins of one of the county’s fastest growing PBMs. Our client has experienced explosive growth over the past several years, has never lost a customer, and wants the PBM sale and marketing executive to take charge of their established sales force. The VP of Sales and Marketing will have the authority to set sales and service strategy and execute the sales plan you design. Compensation includes a base of $120,000, annual performance incentive, generous product commissions, an over-ride incentive on sales team results, relocation, and corporate benefit and retirement plan. Health Career Professionals, LLC always respects the privacy and confidentiality of executives who apply to positions through our firm. In this role you will increase your knowledge of PBM sales and operations on a national level. As a key executive in this pharmacy benefit manager’s management team, you will be called upon to solve complex problems related to the company’s rapid growth. Superior performance in this role can set the stage for positions of increasing executive responsibility within a national organization. The VP of Sales and Marketing works frequently with the organization’s senior management team and the leaders of large national health plans, employer groups, and other clients. The Vice President of Sales and Marketing is also responsible for: - Personally making new business sales - Ongoing training and development of the sales and marketing team - Managing a focused approach to sales growth - Discovering and executing upon competitive intelligence - Drive the client’s competitive edge To be considered for this position executives should possess the following skills, characteristics, and experiences: - Extremely decisive and self-confident - Bachelors degree (MBA preferred) - 10 Years of previous sales management experience on a national level - Proven results - Broad understanding of how a PBM works as well as an understanding of Medicaid and Medicare managed care. - Experience working with Medicare Part D - Proven personal sales results with C-level clients and prospects   Rate: $120K Base + Incentv,   Job Type: Permanent,   Start Date: ASAP,   Number Of Openings: 1,   Location: Northeast US Respond to this requirement.     Req. ID: Job-0362 - Director, Project Management Office Primary Skills: Project Management, Staff management, Insurance or Health Plan work experience Description: The PMO for large, national health plan offers a Director level opportunity to plan, develop, and implement the highest priority strategic projects for this $4 billion company. Our client is national health care company, growing at a tremendous pace, and establishing a PMO structure from the ground up. As a Director, PMO you will be given wide range to have a significant impact within this organization. Compensation includes a base of in the high $80’s, an annual performance incentive, relocation, and a corporate benefits and retirement plan. Health Career Professionals, LLC always respects the privacy and confidentiality of executives who apply to positions through our firm. Working closely with the VP, PMO, a former PMI executive, the Director will oversee the enterprise level commitment of resources to implement assigned projects. Our client is aggressively installing PMI standards and attacking multiple projects across the entire corporation. Projects may include some of the following components: - Business systems conversions - Operations integrations and relocations, business transitions - New business operational implementation projects - Development of business processes and workflows to support above components - Development and delivery of training programs to support the above components - Post go-live support In this role, a project management professional will gain highly desired experience managing simultaneous major projects across a national territory. Some travel will be required, dependent upon project priorities. High levels of interaction with senior company executives will also be required. The Director, PMO has responsibility for managing the departmental staff and engaged consultants, the development of project policies, procedures, and standards, hiring and evaluation of PMO staff, refine Cost Benefit Analysis, as well as other duties. To be considered for this position, project management professionals should possess the following skills, characteristics, and experiences: - Required PMP Certification - Four-year college degree in Business Information Systems, Computer Science, or Health Care, or equivalent combination of education and experience. - 10-12 years business experience in Insurance, Finance, Medical Systems, or prepaid Health Care. - 5 years of management experience strongly preferred to manage a matrix project organization. - At least 5 years project management experience in Insurance, Finance, Medical Systems, or prepaid Health Care in a business environment. - In-depth knowledge of analysis tools and techniques. Comprehensive understanding of general project phases. - In-depth knowledge of project planning tools and techniques, including Gantt charts, critical path method, program evaluation and review technique, resource balancing, cost estimating. KEYWORDS: project manager, project management, PMO , PMO Director, Senior Manager, managed care, Medicaid, Medicare, insurance, health insurance, health care, health plan, insurance plan, Certified project manager   Rate: High $80's DOE,   Job Type: Permanent,   Number Of Openings: 1,   Location: Philadelphia, PA Respond to this requirement.     Req. ID: PA-001 - Medical Director Primary Skills: Experience with behavioral health, Board certified in a primary care specialty, five years of clinical practice experience and a minimum of three to five years of experience in medical and general management Secondary Skills: Prefer managed care experience Description: The Medical Director has overall responsibility for the quality improvement program, the medical management program, the prior authorization program, and the development of clinical policy as it relates to care management and special needs. PRINCIPAL ACCOUNTABILITIES: Provides medical leadership and clinical oversight for all functional areas of the Management Program. Oversees the identification and analysis of medical information in order to develop interventions to improve the clinical effectiveness of Management strategies. Ensures the clinical outcomes established by the state are in compliance with the stated contract. Builds credibility by actively creating linkages with the provider community. Might work with community leaders to create programs and guidelines to manage the care received by Indiana Care Select members. Actively participates on the Clinical Policy Committee and Quality Improvement Committee who also provide direction and leadership Program. Maintains compliance with the Department of Public Welfare guidelines, medical policies and procedures, and with the requirements of the accrediting agencies. Participates in the identification and analysis of medical information in order to develop interventions to improve clinical effectiveness of medical management strategies. Directs the medical content of projects, educates internal teams and clients on relevant medical issues. Reviews data to assess most appropriate communication strategies and maintain interaction with clinical leaders. Works with other medical directors to develop competent clinical staff. Trains staff on medical-related issues, and provides medical consultation to staff as appropriate. Provides medical expertise when responding to state agencies and other external inquires. Defends decisions on medical necessity as appropriate. Provides input to Legal Department questions concerning pending cases and litigation. Supports the continued growth and development of all employees to promote competence and develop/maintain skills necessary to enhance continued business growth. Demonstrates a commitment to and an understanding of the Affirmative Action Plan. Creates and supports an environment that fosters teamwork, cooperation, respect and diversity. Establishes and maintains positive communication and professional demeanor with Indiana Care Select employees and clients at all times. Adheres to policies and procedures; supports and carries out the Mission and Values. Demonstrates and supports commitment to corporate goals and mission. KEY COMPETENCIES: Budgetary Responsibility. Corporate Financial Performance. Performance Management. Leadership Skills. Job Knowledge. Communication Skills. Regulatory and Delegation Compliance. Analytical Skills.   Rate: Open,   Job Type: Permanent,   US Exp: $146K to $195K ,   Number Of Openings: 1,   Location: Harrisburg, PA Respond to this requirement.        Send Us Your Resume Search for Opportunities Email Us: info@healthcareerprofessionals Visit us at www.HealthCareerProfessionals.com Career Agents for Health Care Professionals