Job Details

Managed Care Client Contract Specialist Southern California Military veterans preferred

Company name
Quest Diagnostics

Anaheim, CA

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The Journey Begins with you.

There's quite a distance between wondering and knowing. And for patients waiting for answers to important health questions, it's a road they want to travel as quickly as possible.At Quest Diagnostics Incorporated, we understand urgency. But more than speed, we focus our energies on accuracy. Currently, we seek a Managed Care Contract Specialist for the Southern California territory.
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PURPOSE: Retain and grow book of business\u00a0 by developing strategies, identifying opportunities for growth and executing managed care business plans to create favorable opportunities within designated IPA customer segment and/or region.
\t\u2022Develop and lead business plan for each account
\t\u2022Negotiate contracts and pricing (all Laboratory Service and\u00a0 Data Agreements and Amendments)
\t\u2022Create and manage the Executive Summary, Authorization Matrix and RFP processes
\t\u2022Identify, develop and implement strategic selling/upselling initiatives/opportunities to drive profitable growth
\t\u2022Secure favorable reimbursement/coverage for new testing technologies and anchor tests
\t\u2022Develop and maintain key relationships across client leadership: C-Suite, VP, Network Management and Contracting
\t\u2022Effectively engage with physician/hospital sales teams to leverage market position for growth opportunities
\t\u2022Strong knowledge base for competitive intelligence and market trends\u00a0
\t\u2022Revenue growth/profitability as assigned by BU
\t\u2022Individual/group goals as set by MCS and RD
\t\u2022Price/requisition improvement
\t\u2022Contract compliance management
\t\u2022Effectiveness of collaboration with Optum360/revenue services to resolve claim denial and reimbursement issues
\t\u2022Consistency of routine Joint Operation Committee meetings and/or business reviews with strategic IPA client accounts
Selling/presentation skills
Problem resolution
Customer service
Interpersonal/communication skills
\u00a0\u00a0Financial/business acumen
\u00a0 Payor/industry expertise
\u00a0 Strategic agility
\u00a0\u00a0Solution and results orientation
\u00a0 Customer focus
\u00a0 Relationship development
\u00a0 Comfort around higher\u00a0 management
\u00a0BS/BA Degree
\u00a03-5 years healthcare/payor experience (may include contract management/negotiation, sales, strategic relationship management, problem resolution)

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How To Apply

Please Log In or Register to Upload a Resume and complete the online Application. Because of the large number of applicants to job openings, Quest Diagnostics will only contact candidates to be interviewed
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Closing Statement

Quest Diagnostics has many career opportunities for individuals whose talent, initiative and dedication will complement our belief that the patient comes first and that values do matter. We work to earn our customers\u2019 trust every day by providing the highest quality diagnostic information services in a professional, accessible and informative way. Our workforce is diverse and talented and believes in our vision: \Empowering Better Health with Diagnostic Insights.\\u00a0
[All requirements are subject to possible modifications to reasonably accommodate individuals with disabilities.]
Quest Diagnostics is an Equal Opportunity Employer: Women / Minorities / Veterans / Disabled / Sexual Orientation / Gender Identity.\u00a0 Quest Diagnostics does not discriminate against individuals with disabilities. If you need assistance in completing an employment application please email or call 262-439-1939 for assistance or an accommodation.
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Company info

Quest Diagnostics
Website :

Company Profile
Quest Diagnostics has headquarters in the U.S. and operations in India, Ireland, Mexico, and the United Kingdom. Our products and services are used by customers in over 130 countries. We also collaborate with many international diagnostic laboratories, hospitals and clinics to help improve human health around the world.The company is the leading provider of pre-employment drugs-of-abuse screening for employers & risk assessment services for the life insurance industry. It is the world’s 2nd largest provider of clinical trials testing for new pharmaceuticals.

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