Mail: Health New England, Human Resources, One Monarch Place, Suite 1500, Springfield, MA 01144-1500

Fax: (413) 233-2747

E-mail: humanresources@hne.com

For more details on the openings that interest you, please check below.

Medical Director

Large Group Sales Executive

Provider Relations Representative

Medical Director

Position Summary:
The Medical Director will have responsibility for utilization management and quality improvement for the delivery system. Other responsibilities include working with physicians to improve performance and utilization. The Medical Director also participates in physician recruitment, peer activity, credentialing, clinical advisory healthcare teams, and utilization review. The Medical Director shall function as a consultant representing the medical department to internal and external customers, including providers, employers and brokers.

Qualifications:
The successful candidate will have:

• A Medical Degree with board certification, holding an active, unrestricted license to practice, with a minimum of 5 years post-residency clinical/direct patient care experience
• Advanced Management Training
• Practical experience in health care administration and managed care experience desirable 

Additional skills include:

• Demonstrated knowledge of the regulatory environment of managed care
• Excellent clinical, analytical, and facilitation and negotiation skills
• Must show evidence of leadership skills and possess excellent interpersonal skills required to interact with associates and customers.
• Able to exercise good judgment in problem solving and decision-making situations
• Excellent presentation, oral and written communication skills

We are committed to the people we serve, our providers and our community.

For consideration, please e-mail your resume and Curriculum Vitae to: humanresources@hne.com or mail to: Human Resources, Health New England, One Monarch Place, Suite 1500, Springfield, MA 01144-1500, fax: (413) 731-5275.

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Provider Relations Representative

Position Summary:

This position serves as the primary liaison to HNE’s provider network, providing information and training on new products & initiatives; ensuring provider compliance with regulatory requirements and HNE contractual obligations; and responding to and resolving provider issues, questions and concerns.  Ensuring providers have accurate and up-to-date information, and addressing their issues and concerns in a timely manner, has an impact on providers’ decisions to join or remain part of HNE’s provider network.

Qualifications:

• Associate's Degree in Business or a HealthCare related field and 3-5 five years experience in a managed care or other insurance environment or an equivalent combination of education and experience.
• Strong understanding of managed care, high deductible, indemnity and regulated market products
• Ability to analyze and interpret data
• Strong presentation skills - ability to respond to questions on the spot and remain poised under pressure
• Strong verbal and written communication skills
• Excellent customer service skills
• Solid understanding of HEDIS and NCQA standards
• Proficient with Microsoft Office Suite (Word, Excel and Access)

We are committed to the people we serve, our providers and our community.

For consideration, please e-mail your resume and Curriculum Vitae to: humanresources@hne.com or mail to: Human Resources, Health New England, One Monarch Place, Suite 1500, Springfield, MA 01144-1500, fax: (413) 731-5275.

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Large Group Sales Executive

Position Summary:

Responsible for prospecting and generating sales of national, regional and other large self-insured and fully-insured accounts. This position will sell to companies and organizations whose sizes have the potential to create more than 500 new subscribers to HNE health plans upon the closure of each sale. This will require developing relationships with prospective clients over long periods of time. The incumbent will be responsible for achieving sales objectives for assigned large group prospects. Works closely with the sales manager to develop and implement sales strategies to achieve sales growth of target market.

Qualifications:

A Bachelor's degree plus a minimum of 5 years professional business experience in Sales/Marketing. Healthcare sales and or consulting experience required or an equivalent combination of education and experience.

• Experience in employer stop loss and self insurance
• Excellent interpersonal, communication and negotiation skills, including well-honed public speaking, presentation and influencing skills.
• Ability to present to key decision making executives of clients and their consultants.
• Ability to work independently with a strong results orientation.
• Demonstrated proficiency in sales process and prospecting skills, ability to develop new prospects.
• Can identify and clarify customer needs to develop solution.
• Demonstrated proficiency of benefit plan design, underwriting, financial principles and processes.
• Strong customer service focus.
• Excellent interpersonal and problem solving skills
• Excellent organizational skills
• Familiarity with Microsoft Office Suite
• Valid driver’s license and a personal vehicle.
• Massachusetts Life & Health Producers License (or ability to be licensed)

Position requires use of a personal automobile for traveling on a regular basis to clients. Travel to client corporate headquarters may be required. Meetings, presentations and health fairs may be scheduled beyond core business hours so flexibility of workday hours is a required.

We are committed to the people we serve, our providers and our community.

For consideration, please e-mail your resume and Curriculum Vitae to: humanresources@hne.com or mail to: Human Resources, Health New England, One Monarch Place, Suite 1500, Springfield, MA 01144-1500, fax: (413) 731-5275.

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