Top Claims Executive jobs in Melbourne, FL

JOB SUMMARY

A Business Development Associate is responsible for network development. In accordance with enterprise and local strategic priorities, this role will establish and foster outreach efforts with post-acute care, primary care, and/or non-Tenet acute care facilities that will support the growth and development of the Tenet network. Depending on market needs and leadership direction, this role entails the education of physicians, medical directors, administrators, nurse practitioners, practice managers, and/or schedulers from post-acute care facilities, primary care offices, and/or non-Tenet acute care facilities on our portfolio of hospital services. The objective is to increase the selection of our services by primary care offices, post-acute care facilities, and/or non-Tenet acute care facilities. All work, to be done in accordance with the Company’s Standards of Conduct and policies and procedures, particularly those involving referral source arrangements.

Primary Desired Outcome - Increase the selection of hospital services by providers via post-acute care facilities, the primary care setting and non-Tenet acute care facilities

Primary Target Audience - Providers who do not have a working relationship with Tenet, as well as those that utilize Tenet for a portion of their services, sourced from primary care, post-acute care, and non-Tenet acute care facilities

PRIMARY JOB DUTIES AND RESPONSIBILITIES

• Responsible for planning and conducting in-person visits, predominantly focused on key stakeholders across community-based physician groups, post-acute care facilities, and/or non-Tenet acute care facilities throughout the defined market service area, in an effort to increase selection of hospital/market services. This role will receive ongoing guidance from Business Development leadership on providers of focus and productivity expectations.
• Evaluate and interpret current physician referral patterns and trends for market facilities’ service lines, ensuring understanding of market dynamics.
• Research portfolio of assigned providers to understand the decision making behind hospital selection. This information should inform provider engagement.
• Conduct face-to-face sales meetings with clients ensuring through understanding of the service line attributes, processes and outcomes to consumers.
• Complete follow-up meetings to ensure internal and external obstacles to growth and retention are identified and minimized.
• Communicate feedback from clients and partner with the appropriate market/hospital resources to resolve issues to better serve our patients and provider partners.
• Prepare and present sales reports, identifying trends, lessons learned, opportunities and areas for improvement to achieve market goals.
• Continuously modify and execute business development tactics to ensure optimal business outcomes, based on feedback from clients and facility leaders.
• Maintain latest knowledge of the health system, hospital and provider landscape, relevant to your specialization, in your defined market service area.
• Document all client engagement in a timely manner on a daily basis in the defined CRM tool, including outcomes and required follow-up.
• Support the implementation of key initiatives that require relevant network development, as directed by the Group Vice President and/or CSO.
• Perform all duties with consistently high ethical standards and strict adherence to company policies and procedures.

EDUCATION, EXPERIENCE, AND OTHER REQUIREMENTS

Minimum Education

• Associate’s degree or equivalent experience required; bachelor's degree strongly preferred

Experience

• At least 3 years of experience in a field related to health system physician relations, pharmaceuticals, or medical devices

Other Requirements

• Exhibited success in a marketing/sales role
• Possess and demonstrate excellent organizational, interpersonal, facilitation, and communication skills
• Capacity to work independently with minimal supervision
• Ability to travel up to 5% of time

Tenet Healthcare complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

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