Summary:
This role is responsible for growing and optimizing a portfolio of existing clinical workers compensation programs and a maturing clinical-captive insurance risk taking "start-up" venture that is novel to the industry for it's approach to align the goals of patients, providers and insurers in Worker's Compensation.
Candidate will build strong relationships with Worker's Compensation referral sources across the Midwest and nationally with the goal of serving more patients. This includes marketing the services of Mary Free Bed Rehabilitation Hospital, the #10 Rehabilitation Hospital in the country according to US News & World Report to existing and potential referral sources (physicians, case managers, attorneys, insurance adjusters, TPAs, self-insured companies, municipalities, etc.). And, for leveraging the Mary Free Bed Insurance Company's willingness to share risk to develop innovative value-based arrangements for new onset catastrophic, individual legacy cases or entire portfolios of workers compensation business.
The best candidate will embrace the strong foundation of Mary Free Bed, with diverse industry experience and a highly energized and entrepreneurial spirit to design a disruptive and financially viable business for the future of the industry.
- Focus on Patient Care. A selfless drive to serve and heal connects all Mary Free Bed employees.
- Clinical Variety and Challenge. An inter-disciplinary and inter-professional approach and a top team of professionals create ever-changing opportunities and activities.
- Family Culture. We offer the stability of a large organization while nurturing the family/team atmosphere of a small organization.
- Trust in Each Other. Each employee knows that his/her co-workers can be trusted to make the right decision for our family, patients, staff and community.
- A Proud Tradition. Years of dedicated, quality service to our patients and community have yielded a reputation that fills our employees with pride.
Essential Job Responsibilities:
- Increases worker's compensation admissions to Mary Free Bed programs:
- Attend professional conferences to represent Mary Free Bed
- Analyzes referral patterns and prioritizes opportunities to increase business
- Makes regular sales calls on worker's compensation referral sources
- Develop appropriate worker's compensation specific materials including: website, digital outreach, printed collaterals, patient stories
- Maintain a comprehensive understanding of the competitive environment for workers compensation referrals and differentiate Mary Free Bed
- Create a culture across Mary Free Bed departments of concierge level of care and communication based on patient and payer needs including
- Seamless transitions of care
- Integrated provider-payer case management standards and reporting
- Education and alignment of clinical teams to goals of patient, provider and payer
- Consistent outcomes reporting and measurement back to referral sources
- Create viable risk-sharing models between Mary Free Bed and insurers that lead to greater patient outcomes and reduced overall costs and assist in establishing this as a "NewCo."
- Broaden nationwide Mary Free Bed business development efforts, generating national outcomes-based relationships with reinsurers, insurers, self-insured employers
- Ensure appropriate business plan, funding, and operational plans are sustained
- Formulate a strategic plan to facilitate growth of "NewCo," and by identifying potential strategic partners and/or investors for possible capitalization of Newco
- Responsible for the growth of top line revenue and operating margin of "NewCo"
- Develop a reliable clinical and financial risk model for evaluating new business (individual cases, legacy cases or other) and reinsuring risks
- Leadership Must-Haves will be followed for patient and staff interactions:
- Embrace Diversity, Equity and Inclusion, by:
Treating everyone with dignity and respect
Opening more doors to opportunities for underrepresented cultures
Growing talent and people
Evaluating and eliminating disparities
Taking action against injustices, bias and racism
Honoring our differences and how to collaborate
Educating staff, patients and the communities we care for
Restoring Hope and Freedom, together - Rounding
- Thank You Notes
- Employee Selection/Peer Interviewing
- Key Words at Key Times
- AIDET + Promise
- Standards of Behavior
Essential Job Qualifications (Knowledge, Education, and Training Requirements):
- Bachelor's degree required; Masters' preferred
- 10 years professional experience with at least five years in an insurance environment
- Entrepreneurial spirit and desire to create something disruptive to the market
- Strong analytical, decision-making and communication skills
- Ability to multi-task and delegate tasks for timely project completion
- General knowledge of healthcare products and services and principles of marketing and sales
- Self directed and motivated by helping patients receive the best care available.
- Physical Demands:
- Able to exert up to 10 pounds of force occasionally (up to 1/3 of the time)
- Able to lift, carry, push, pull, up to 10 pounds occasionally
- Able to sit for the majority of the time, but may involve brief periods of time involving walking or standing.
- Able to use keyboard frequently (1/3 to 2/3 of the time)
Reporting Relationship: CFO
The above statements are intended to describe the general nature and level of work being performed by employees in this classification. If you require a reasonable accommodation to perform the essential functions of this position, you must request accommodation in writing, within 182 days after you know or should know of the need for accommodation.
Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.
MFBANIJ
Mary Free Bed Rehabilitation
Nov 11, 2024