Develops and implements an effective marketing plan. Manages the marketing services staff and implements strategies relative to the development and management of an effective marketing plan. Typically requires a bachelor's degree with seven years of client services or marketing experience.

Designs... [+] More

Develops and implements an effective marketing plan. Manages the marketing services staff and implements strategies relative to the development and management of an effective marketing plan. Typically requires a bachelor's degree with seven years of client services or marketing experience.

Designs and implements programs to maintain positive relationships between the health plan, physicians, providers, and practice managers. Develops marketing materials and communications for employers and plan members. Maintains awareness of the competitive environment and develops appropriate product and sales strategies. Works with Account Executives to service client groups and assists in the development and management of strategic accounts. Oversees hiring, developing, and managing a qualified staff concerned with the maintenance and expansion of client relationships within the health plan. Oversees preparation, coordination, and delivery of plan performance presentations. Identifies supporting strategies for product and program pricing, retention, and net revenue growth. May also oversee the activities of Account Executives in building strong relationships with clients. Prepares, manages, and monitors the departmental budget. [-] Less

Examines commercial and private building plans and inspects construction sites to ensure compliance with building code regulations

reviews building plans for completeness and accuracy. Examines individual plan components to ensure that all code mandated items are included. Calculates footage between building... [+] More

Examines commercial and private building plans and inspects construction sites to ensure compliance with building code regulations

reviews building plans for completeness and accuracy. Examines individual plan components to ensure that all code mandated items are included. Calculates footage between building components, such as doors, windows, and parking areas and amount of area occupied by components to ensure compliance with code. Notes instances of noncompliance on plans and correction sheet and suggests modifications to bring plans into compliance. Approves and signs plans meeting code requirements. Inspects building sites and buildings to ensure construction follows plans. Submits reports detailing items of noncompliance to builder for correction. Provides code information to individuals planning buildings. Issues occupancy certificates to building owners when completed buildings are in compliance with codes. Tours jurisdictional area to detect unapproved or noncompliance construction. Proposes studies to improve or update building codes. Testifies at appeal hearings regarding buildings alleged to be not in compliance with codes. [-] Less

Directs the overall operation and provides executive leadership in a regional health plan.

This is the top regional executive and a principal organization leader in the health plan. Responsible for the profitability of the regional organization. Establishes strategic plans and guides... [+] More

Directs the overall operation and provides executive leadership in a regional health plan.

This is the top regional executive and a principal organization leader in the health plan. Responsible for the profitability of the regional organization. Establishes strategic plans and guides implementation. Confers with executive management to plan operational objectives, to develop policies and procedures, to coordinate functions and operations between divisions, departments and satellite locations, and to establish responsibilities and procedures for attaining objectives. Reviews activity reports and financial statements to determine progress and status in attaining objectives and revises objectives and plans in accordance with current conditions. Directs and coordinates formulation of financial programs to provide funding for new or continuing operations and guides changes needed to reach financial goals. Represents the organization to major external authorities and constituencies. Plans and develops labor, and public relations policies designed to improve the organization's image and relations with patients, providers, employees, and the general public. Selects and evaluates performance of executive staff for compliance with established policies. An advanced degree in a field of health or business is typically required for this position. [-] Less

Plans, directs, develops, and coordinates health services in an assisted living facility to provide continuity of quality care as well as quality of life for residents. Manages the Health Services staff and implements strategies relative to the development and management... [+] More

Plans, directs, develops, and coordinates health services in an assisted living facility to provide continuity of quality care as well as quality of life for residents. Manages the Health Services staff and implements strategies relative to the development and management of services for resident care. Typically requires graduation from an accredited school of nursing, current licensure to practice professional nursing, and five years of related experience in long-term care.

Plans, evaluates, and takes responsibility for providing consistent and sufficient staffing to meet resident needs. Ensures that the medical, psychosocial, and emotional needs of residents are addressed in the plan of care. Trains, reinforces, and monitors employee use of appropriate techniques for effective assessment, planning, intervention, and evaluation of residents. Manages and coordinates placement and periodic health reviews and confidential medical record maintenance. Hires, develops, and manages a qualified staff concerned with providing quality care to residents. Ensures that adequate orientation is provided to all employees in the area. Protects and promotes resident rights, including confidentiality, privacy, dignity, and freedom from abuse. Prepares, manages, and monitors the departmental budget. [-] Less

Develops and oversees the implementation and administration of the organization's health and welfare benefits plans and programs, which may include medical, dental, vision, hearing, and prescription drug plans; consumer-driven health arrangements such as health reimbursement accounts and health savings accounts;... [+] More

Develops and oversees the implementation and administration of the organization's health and welfare benefits plans and programs, which may include medical, dental, vision, hearing, and prescription drug plans; consumer-driven health arrangements such as health reimbursement accounts and health savings accounts; long-term and short-term disability plans; life insurance and AD&D; tuition reimbursement and education assistance programs; and employee assistance programs. Provides related information and analyses to top management and the Board of Directors, and works with outside consultants and vendors as appropriate in all areas.

Develops health and welfare benefits plans, programs, and processes, working across organizational levels, to ensure market competitiveness, internal equity, process efficiency, and compliance with current processes. Coordinates Family and Medical Leave Act and State-based leave policies with long-term and short-term disability arrangements. Complies with State, Federal, and local legal requirements. Determines the tax treatment of various health and welfare benefits, including the taxation of benefits for same-sex spouses and non-dependents. Complies with the HIPAA privacy and electronic security requirements applicable to protected health information arising in health benefit plans and/or on-site medical clinics. Drafts and negotiates group insurance contracts, administrative services only (ASO) agreements, managed care agreements, investment manager agreements, and pharmacy benefit manager (PBM) agreements. Oversees handling of claims for benefits in accordance with the ERISA and State law fiduciary rules, and in anticipation of potential litigation. Complies with the continuation health coverage requirements of COBRA and related State continuation laws. Makes changes to active and retiree health and welfare benefit plans, in light of constitutional and ERISA vesting requirements. [-] Less

Plans, develops, and administers health information system for health care facility consistent with standards of accrediting and regulatory agencies and requirements of health care system. Develops and implements policies and procedures for documenting, storing, and retrieving information, and for processing... [+] More

Plans, develops, and administers health information system for health care facility consistent with standards of accrediting and regulatory agencies and requirements of health care system. Develops and implements policies and procedures for documenting, storing, and retrieving information, and for processing medical-legal documents, insurance data, and correspondence requests in conformance with Federal, State, and local statutes.

Supervises staff, directly or through subordinates, in preparing and analyzing medical documents. Participates in development and design of computer software for computerized health information system. Coordinates medical care evaluation with medical staff and develops criteria and methods for such evaluation. Develops in-service educational materials and conducts instructional programs for health care personnel. Analyzes patient data for reimbursement, facility planning, quality of patient care, risk management, utilization management, and research. May manage medical records department. [-] Less

Plans, develops, and administers health information system for health care facility consistent with standards of accrediting and regulatory agencies and requirements of health care system. Develops and implements policies and procedures for documenting, storing, and retrieving information, and for processing... [+] More

Plans, develops, and administers health information system for health care facility consistent with standards of accrediting and regulatory agencies and requirements of health care system. Develops and implements policies and procedures for documenting, storing, and retrieving information, and for processing medical-legal documents, insurance data, and correspondence requests in conformance with Federal, State, and local statutes.

Supervises staff, directly or through subordinates, in preparing and analyzing medical documents. Participates in development and design of computer software for computerized health information system. Coordinates medical care evaluation with medical staff and develops criteria and methods for such evaluation. Develops in-service educational materials and conducts instructional programs for health care personnel. Analyzes patient data for reimbursement, facility planning, quality of patient care, risk management, utilization management, and research. May manage medical records department. [-] Less