
501 - 1000 employees
Founded 1983
🛡️ Insurance
💼 Consulting
⚖️ Legal
Insurance • Consulting • Legal
Medical Review Institute of America, LLC is a company specializing in clinical and utilization review services. They offer a comprehensive suite of data-driven solutions, including prior authorization optimization, second opinions, and specialty drug reviews, aimed at ensuring the right care is delivered at the right time and in the right place. MRIoA provides services to health plans, pharmacy benefit managers, government entities, and self-insured employers, among others. They leverage technology and a network of professionals to streamline clinical decisions, enhance provider performance, and ensure compliance with regulatory requirements across all 50 states. Their tools and platforms are designed to optimize clinical reviews, reduce costs, and improve patient outcomes through evidence-based care pathways and telehealth solutions.
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501 - 1000 employees
Founded 1983
🛡️ Insurance
💼 Consulting
⚖️ Legal
Insurance • Consulting • Legal
Medical Review Institute of America, LLC is a company specializing in clinical and utilization review services. They offer a comprehensive suite of data-driven solutions, including prior authorization optimization, second opinions, and specialty drug reviews, aimed at ensuring the right care is delivered at the right time and in the right place. MRIoA provides services to health plans, pharmacy benefit managers, government entities, and self-insured employers, among others. They leverage technology and a network of professionals to streamline clinical decisions, enhance provider performance, and ensure compliance with regulatory requirements across all 50 states. Their tools and platforms are designed to optimize clinical reviews, reduce costs, and improve patient outcomes through evidence-based care pathways and telehealth solutions.
• Grow sales in excess of 20% annually through long-term planning and execution • Build long-lasting relationships with Health Plans, value-based providers, PBMs, TPAs, self-insured employers, and other healthcare payer organizations • Partner with customer success, clinical, and operations teams to deliver revenue growth, customer satisfaction, customer and product profitability, and overall business growth • Direct lead generation and sales activities for new business growth and cross-selling at existing accounts • Direct the end-to-end sales process for all company product lines and services • Build an in-depth understanding of MRIoA solutions and services • Serve as the industry expert for Peer-to-Peer Review sales in targeted market segments • Assess healthcare over-utilization issues, the competitive landscape, payer clinical terminology, and individual customer and segment needs to craft and communicate value propositions • Manage lead generation, pipeline management, deal execution, and implementation handoff to meet or exceed quarterly and annual sales quotas • Maintain key client relationships and expand the current client portfolio • Build territory plans by targeting prospects and identifying pipeline-growth opportunities through email campaigns, cold calls, tradeshows, LinkedIn Sales Navigator, ZoomInfo, inside sales, and customer success • Secure meetings with clinical directors and VPs, purchasing leadership, and C-level audiences • Prepare and deliver product demonstrations and presentations • Define prospect decision-making processes, including champions, decision makers, influencers, and next steps • Collaborate with clinical support, product management, inside sales, and account management during sales and handoff • Provide feedback for marketing, product, and service enhancements • Maintain account, contact, opportunity, pipeline, sales-stage, revenue, and close-date information in Salesforce for accurate forecasting
• 8 to 10 years of demonstrated success as an individual contributor carrying a quota selling to Health Plans, TPAs, PBMs and/or specialty care management organizations • Experience selling to healthcare payers • Experience in the use of Salesforce.com or other customer relationship management systems • Motivated self-starter able to work independently and effectively from a home office environment • Demonstrated track record of successful execution of VP/C-Suite sales strategies with the ability to personally close deals • Excellent presentation, written and verbal communication, and interpersonal skills • Demonstrated ability to conduct remote meetings by phone and webcam using Zoom, Teams, etc. • Excellent negotiation, collaboration, and organization skills • Ability to work independently and as a team • Consultative selling experience, assessing prospective client needs and defining the unique value of MRIoA solutions • Demonstrated ability to craft and present proposals and negotiate for a win-win • Strong attention to detail with follow-through on commitments and timelines • Bachelor’s Degree • Ability to travel to client and prospective accounts; approximately 40% travel expected • Must pass a background screen before beginning employment • Must complete a drug screen after hire • Must agree to necessary compliance regulations on the first day of employment • Must adhere to applicable HIPAA regulations and company policies regarding confidentiality, privacy, and security of sensitive health information
• A competitive compensation package • Healthcare, vision and dental insurance • Generous 401k match • Paid vacation, personal time, and holidays • Growth and training opportunities • An award-winning remote work environment
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