Medical Management Team Lead

This is a remote position.

Self Insured Reporting is a rapidly growing company which simply is one of a kind. We're driven by our dedication to be the best. We always strive to pursue excellence. Most of all, we were built by people who loved what they do and were given the space to stretch and become the best at their craft. We love and respect our colleagues above all else, and by caring first for our employees it empowers us to do what we have promised to do – care for our clients.

When one of us succeeds, we all succeed. When one of us hurts, we all hurt. This is a place of tremendous respect, where our leaders work harder than anyone else simply because it would be unthinkable to ask someone else to do something that we were not willing to do. Our team can be trusted to do the right thing even when nobody is looking. It's a character thing. It's a work thing. An excellence thing. It’s what we do!

As a Medical Management Team Lead, you would be responsible for running our exciting population health outcomes. To be a successful Medical Management Team Lead, you’ll need to be able to communicate the protocol set forth by our Population Health Nurse and Team Pharmacist. We need someone with a great desire to work hard managing on a granular level the ins and outs of our Population Health, being hungry for growth and opportunities, always eager to jump in and embrace the challenge.

You will succeed if you can work effectively with our Population Health Nurse and Team Pharmacist, be detail oriented, and be able to work on the granular level to achieve positive health outcomes for groups and their members.

Medical Management Team Lead responsibilities

• The applicant will work with population health third parties to develop actionable deliverables to customer base
• Monitor data from various TPAs based on protocols set by our Population Health Nurse and Team Pharmacist.
• Handle day to day interactions with customers who use third party disease management vendors

·Manage Population Health

• Enforce the protocols set by Population Health Nurse and Team Pharmacist on a granular level

This is a remote position

Requirements

A successful candidate will have:

·4 Year Degree

• CNA Background (Nursing home equivalent)

Preferred qualifications

• Background interacting with medical carriers, TPAs, and PBMs
• Familiarity with medical and pharmacy claims data
• Experience with corporate wellness/disease management programs

Benefits

Benefits

3 Weeks PTO

Medical/dental/vision

Originally posted on Himalayas