Managed Healthcare Executive
  Managed Healthcare Executive is free to qualified professionals. Summary Description
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2. To permit future verification of your request, please answer ONE of the following questions:
What month were you born?

OR

Name of the school you last attended:


3. Which of the following BEST describes the primary business of your organization or division? (select only one)
A. HEALTHCARE PLAN, PAYOR & ADMINISTRATIVE ORGANIZATIONS:
HMO/PPO/PSO/Insurance Company
Medicare/Medicaid/Governmental Plan
Supplemental/Carve-Out Insurance Plan (Dental/Vision/Behavioral Health)
Pharmacy Benefits Management (PBM) including Medicare Part D PDP
Third Party Administration (TPA)
Utilization Review Firm
Contract Management Firm
Group Purchasing Organization (GPO)
Employee Benefits Management (EBM) Firm/Consultant
Other Healthcare Plan, Payor & Administrative Organization (please specify)
B. HEALTHCARE PROVIDER ORGANIZATIONS: (An entity that directly treats patients)
Integrated Health Organization (IHO) (multi-hospital/practice settings; same ownership)
Integrated Delivery System (IDS) (multiple practice settings; same ownership)
Integrated Health Network (IHN) (multi-hospital; separate ownership)
Multi & Large Group Practice (50+ physicians)
Multi & Large Group Practice (less than 50 physicians)
Independent Hospital (300+ beds)
Independent Hospital (less than 300 beds)
Independent Practice Association (IPA)
Medical Clinic (50+ physicians)
Medical Clinic (less than 50 physicians)
Long-term Care Facility or Multi-Facility
Home Healthcare Organization
Other Healthcare Provider Organization (please specify)
C. INDEPENDENT CONSULTANT
D. NON-HEALTHCARE EMPLOYERS OF: (Aerospace, Automotive, Banking/Financing, Construction, Consumer Goods, Energy, Federal & State Government, Food/Grocery, IT–Hardware & Software, Retail)
5,000+ Employees
1,000 - 4,999 Employees
200-999 Employees
E. OTHER (please specify)


4. Which of the following titles & specialties BEST describes your highest current management position in the business organization selected in question 3? (select only one)
NON-CLINICAL EXECUTIVE:
Chief Executive: CEO/COO/President/Executive Director/Owner/Principal/VP/Director
Managed Care Executive: Chief/VP/Director
Administrative Executive: VP/Director
Financial Executive/Contracting Executive/Industry Relations Executive: CFO/VP/Director/Treasurer/Controller
Information Technology & Intelligence Services Executive: CIO/VP/Director (Software, Hardware, Web, Data Processing, Technology Assessment)
Medical Records Executive: VP/Director
Marketing Executive: CMO/VP/Director
Sales Executive: CSO/VP/Director
Patient Relations/Member Services Executive: VP/Director
Human Resources Executive: VP/Director
Employee Benefits Executive: VP/Director
Legal/Regulatory/Affairs Executive: Chief Counsel/VP/Director
Risk Management Executive: VP/Director
Other Non-Clinical Executive: VP/Director (please specify)
CLINICAL EXECUTIVE:
Medical Director
Chief of Medicine/Chief of Staff
VP/Director/Chief of Medical Affairs
Clinical Program Director/Services VP/Director (Specify: e.g., Oncology, Sports Medicine, Transplant, Disease, ER, Trauma, Wellness, Physical Therapy, Radiology, etc.)
Pharmacy/Formulary Director/Formulary Committee Chair
VP/Director/Chief of Pharmacy Services
Drug Information Officer/Clinical Pharmacist
VP/Director of Nursing/Chief of Nursing Affairs
Utilization Review/Quality Assurance VP/Director
Case Management VP/Director
Provider Relations VP/Director
Other Clinical Executive: VP/Director (please specify)


5. Are you currently a P & T Committee member/presenter/contributor?
Yes     No


6. Total number of lives covered if at a Managed Care Plan/Payor Organization: (select only one)
More than 5 Million 100,000-499,999
2.5-4.9 Million 75,000-99,999
1.0-2.4 Million 50,000-74,999
500,000-999,999 Less than 49,999


7. Do you presently play a role in Pharmacy Benefits Design/Structure, Drug Choice and/or Implementation?
Yes     No


8. Tell us what you really think. Join our Managed Healthcare Executive Research Panel today.
Sign me up for 6-8 quick surveys per year at my email address.


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  Number of beds in your organization: (select only one)
500 and up 100 - 199
200 - 499 1 - 99
  Please indicate type of Facility / Service / Firm: (select only one)
Hospital/Multi-Hospital System Managed Care Organization (HMO, PPO, Healthplans)
Integrated Delivery System/Health Network Insurance Company
University/Teaching Medical Center/Hospital Third Party Administrators (TPA)/Self-Insured Employer
Military/Government Medical Center/Hospital Pharmacy/Independent Lab
Clinical/Group Practice IT Consulting/Systems Integration
Physician Organization (IPA/PHO) Consulting Firm
Ambulatory Care Center VAR/Vendor of Systems
Long-Term/Sub Acute Care Facility/Nursing Home/Rehab Other (please specify)
Home Health Care Agency
  Please select the category that best describes your title: (select only one)
General and Financial Management Information Management cont.
CEO, President, Executive Director, Administrator Other IT Personnel (please specify)
CFO, Finance Director/Manager
CSO/Security Officer/Director Network/MIS/Data Processing Director/Manager
Planning Officer/Director Health Information Director/Manager
Marketing Officer/Director Coding/DRG Director/Manager
COO, VP, Assistant Administrator Systems Administrator/Analyst/Network Specialist/Project Manager
CCO, Compliance Director/Manager Clinical Management
CPO/Purchasing/Materials Management Director/Manager Chief of Staff/Medical Director/VP of Medical Affairs
Quality Officer/Director Chief of Pathology/Pathologist
Other Administrative Title (please specify) Chief of Radiology/Radiologist
Other Clinical Administration (please specify)
Information Management
CIO, VP of Information Systems, Tech Officer Chief of Laboratory Services/Lab Administrator
Chief of Medical Records/Medical Records Manager Chief of Pharmacy/Pharmacist
Director/Manager of Medical Informatics Chief/VP of Nursing Services/Asst Director/Case Manager
Director/Manager of Telecommunications/Call Center Director/Manager Other Title (please specify)
  What is the number of employees in your entire organization? (select only one)
less than 50 1,000 - 4,999
50 - 450 5,000 - 9,999
451 - 750 10,000 - 19,999
751 - 999 20,000+
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Agriculture Healthcare
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Banking Hospital
Benefits Insurance
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Consulting Not for Profit
Education Recreation
Electronics Retail
Energy Shipping
Engineering Technology
Entertainment Telecommunications
Environmental Transportation
Finance Utilities
Food and Beverage Other (please specify)
Government
  Which of the following is closest to your job function? (select only one)
President/C-level Manager Manager/Director - Commissions
VP Marketing/Sales/Operations/Business Development IT Staff
VP Information Technology Business/Sales Staff
Manager/Director - Marketing/Sales/Operations/Business Development Professional Services/Consultant
Manager/Director - Information Technology Other (please specify)
  What is the number of employees in your entire organization? (select only one)
Less than 50 1,000-4,999
50-99 5,000-9,999
100-499 10,000-19,999
500-999 20,000+
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  Which of the following best describes your industry? (select only one)

     

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