The SSI Group, LLC, headquartered in Mobile, Alabama, is a national leader in Healthcare Technology.
Making sure you fit the guidelines as an applicant for this role is essential, please read the below carefully.
Purpose of position : An Experienced Data Transport and Quality Measures sales executive working in a leading Payor / Provider software and service vendor with relevant healthcare payment accuracy, payment integrity, FWA, Quality, Performance Analytics, and / or Risk Adjustment is also key.
Deep industry / sales knowledge of all lines of business (Medicare, Medicaid, Commercial) for healthcare payment, quality, and risk solutions such as claim editing, clinical chart review, coordination of benefits, data mining and / or fraud, waste, and abuse market, HEDIS, Medicare and Commercial Risk Adjustment is highly desirable.
The position will work remotely within the U.S.
Target Market : Servicing larger hospital and provider groups on disparate systems that need a central way to collect clinical data, as well as reporting quality measures including :
- Integrated delivery systems (IDNs)
- Health information exchanges (HIEs)
- Academic Medical Center
- Independent Practice Associations (IPAs)
- Regional Health Information Systems (RHIOs)
- Individual hospitals
Essential Functions : (must be able to perform these functions, with or without reasonable accommodation).
- Understanding various payment systems across Medicare, Medicaid, and commercial insurance. This involves knowing how claims should be processed, identifying billing inaccuracies, and ensuring payment integrity.
- Knowledgeable of strategies to prevent fraud, waste, and abuse within healthcare transactions to mitigate these risks.
- The utilization of analytics to measure and improve healthcare outcomes. Possibly working with HEDIS measures or similar quality reporting standards to evaluate healthcare provider performance.
- Understanding risk adjustment mechanisms, especially in Medicare and commercial settings, to ensure accurate representation of patient populations and fair compensation for caregivers and providers.
- Familiarity with national networks connecting healthcare organizations such as eHealth Exchange, The Sequoia Project, CommonWell Health Alliance, and Carequality.
- High-level understanding of integration and interoperability concepts that support the networks necessary for exchanging clinical data, e.
g., HL7, IHE, and FHIR.
- Understanding of national initiatives driven by the Office of the National Coordinator for Health Information Technology (ONC), i.e., TEFCA.
- Knowledge of software solutions that support these functions, including claim editing tools, clinical chart review platforms, and coordination of benefits systems.
- Maintains up-to-date knowledge of industry competitors and consultants.
- Generates leads within territory - New Business.
- Secures introductory meetings with C-level audiences, including CEO, CIO, CMO, CMIO, etc.
- Completes assessment of prospects to highlight critical needs.
- Coordinates product and company overview demonstrations by defining key product needs aligned with specific client opportunities.
- Prepares / presents pricing - Coordinates RFP responses.
- Manage assigned territory to achieve defined sales quota.
- Work with the Technology Team to clearly define the technical compatibility of partnership solutions and the impact of "joint" solutions in the market.
Other Responsibilities as needed :
- Focus on client retention (Renewals) and expanding the SSI footprint within these sites.
- Prepare action plans and schedules to identify specific targets and to project the number of contacts to be made.
- Follow-up on leads and referrals resulting from Marketing promotion and field activity.
- Establish and maintain current customer relationships.
- Tradeshow support and attendance.
- Prepare paperwork to activate and maintain contract services.
- Communicate new product and service opportunities, special developments, information, or feedback gathered through field activity to appropriate company staff.
Skills, Knowledge, and Abilities :
- Must exhibit strong proficiency in using Microsoft Office, including PowerPoint.
- Must have a thorough understanding of SSI products.
- Must be able to interact cordially and productively with co-workers in a team environment and establish relationships with individuals at all company levels.
- Must have excellent telephone etiquette and verbal and written communication skills.
- Ability to handle multiple tasks effectively.
- Ability to work under pressure and to prioritize.
- Must possess excellent organizational and presentation skills.
- Must be able to read and write in English proficiently.
- Must be able to handle difficult individuals and situations.
- Must be able to make independent judgment decisions with no supervision.
- Must be able to drive an automobile and travel by automobile and airplane regularly.
SSI offers competitive salaries and an excellent benefits package including medical, dental, life / AD&D, LTD, vision, 401(k) matching, paid vacation and tuition reimbursement.
J-18808-Ljbffr