Director of Health Plan Sales and Network Management

Medical Associates is hiring a Director of Health Plan Sales and Network Management to join our management team!   Where You Will Be Working:Medical Associates Clinic and Health Plans is a multi-specialty group practice combined with a growing health insurance company.  Our 1,100 healthcare and health insurance professionals lead the way in providing quality healthcare and top-notch insurance products in Northeast Iowa, Southwest Wisconsin, and Northwest and South Central Illinois. This position is an onsite position located at the Medical Associates Health Plans in Dubuque, Iowa.What You Will Be Doing:As the Director of Health Plan Sales and Network Management, you will identify new business opportunities, build, and maintain strong provider networks, and ensure customer satisfaction. You will collaborate with cross-functional teams to deliver tailored health insurance solutions to employers and ensure the lowest net cost through effective negotiation and contract expertise with providers and healthcare organizations.Essential Functions: Sales & Business Development: 

• Lead the Sales team, establish priorities, identify gaps and create solutions.
• Develop and implement strategies to increase sales of health plan products.
• Prospect and engage new clients, offering customized solutions based on their needs.
• Achieve and exceed sales targets by identifying opportunities for growth in key markets.

Provider Relations & Network Management: 

• Lead the Network team, establish priorities, review current workflows and advance where appropriate, identify gaps and create plans to close.
• Build, maintain, and manage relationships with healthcare providers, ensuring the delivery of high-quality care at the lowest net cost.  
• Negotiate contracts with hospitals, physicians, and specialists strategically to strengthen provider networks as appropriate to meet company objectives.
• Ensure compliance with industry regulations and maintain high standards of care within the network.

Client & Member Engagement: 

• Provide ongoing support to clients and policyholders to ensure their satisfaction with services.
• Educate clients about available health insurance plans and their benefits.
• Resolve complex issues related to claims, billing, and coverage with empathy and professionalism.

Market Analysis & Reporting: 

• Analyze market trends, competitor activities, and regulatory changes to identify new opportunities and challenges.
• Report regularly to senior management on sales performance, provider network health, and customer feedback.

Skills you bring:

• Proven experience in health insurance sales, provider relations, or a related field.
• Strong negotiation, communication, and interpersonal skills.
• In-depth knowledge of the healthcare industry, insurance products, and regulations.
• Ability to build and nurture long-term relationships with providers, clients, and stakeholders.
• A proactive and results-driven approach to achieving business objectives.

Benefits Package Includes:

• Competitive compensation package including base and commissions with generous benefit program and relocation
• Single or Family Health Insurance with discounted premium rates for wellness program participation.
• 401k with immediate matching (50% on the dollar up to 7% of pay + additional annual Profit Sharing
• Flexible Paid Time Off Program
• Medical and Dependent Care Flex Spending Accounts
• Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc. 

Expectations:

1. Strategic Planning and Goal Setting: Proactively manage projects and long-term goals, establish timelines and action owners, ensure commitments are met.
2. Decision Making and Resource Management: Gather information, evaluate impacts and risks, make timely decisions, manage resources responsibly.
3. Leadership and Team Building: Se