Account Manager

Vaga não está no LinkedIn

🕒 5 dias atrás

🐊 Florida – Remoto

🐊 Florida – Remote

💵 $120.000 - $135.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

💰 Gerente de Contas

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Health Network One

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 1999

⚕️ Seguro de Saúde

🤝 B2B

Healthcare Insurance • B2B

A Health Network One é uma empresa de gestão de redes de assistência médica que faz parcerias com planos de saúde para gerenciar serviços ambulatoriais especializados (incluindo terapia ambulatorial, cuidados oftalmológicos de rotina e médicos, dermatologia e podologia) sob acordos de risco total. A empresa opera nacionalmente, cobrindo mais de 7 milhões de vidas e contratando com dezenas de milhares de prestadores, oferecendo serviços delegados como gestão de utilização, credenciamento, gerenciamento de reivindicações e de rede. A Health Network One enfatiza soluções baseadas em valor, qualidade clínica, redução de custos para gastos profissionais e de instalações, e possui acreditação da NCQA e certificação HITRUST CSF.

Descrição

• Serve as the primary day to day strategic lead for assigned healthcare payor accounts, supporting client strategy, satisfaction, retention, and growth. • Responsible for maintenance of comprehensive account strategy plans aligned to client business goals, market dynamics, and organizational objectives. • Proactively manage client escalations, risks, and sensitive business issues with urgency and professional communication. • Support the planning and preparation of annual business reviews, strategic planning sessions, and other client-facing meetings. • Escalate client concerns or risks to the VP, Account Management as appropriate. • Assist in executing account management strategies and initiatives defined by leadership. • Coordinate internal resources to ensure timely delivery of services and solutions to clients. • Track key deliverables, timelines, and action items across assigned accounts. • Support implementation of health plan strategies in collaboration with internal teams. • Maintain working knowledge of health plan operations, regulatory requirements, and industry best practices. • Support compliance with client requirements and industry standards. • Assist in gathering and analyzing data to support client reporting and strategy execution. • Track and report on key performance indicators (KPIs) for assigned accounts. • Prepare client reports, presentations, and performance summaries. • Identify trends, risks, and opportunities, and communicate insights to leadership. • Partner with internal stakeholders including operations, clinical, product, and finance teams to support client deliverables. • Ensure alignment across teams to meet client expectations and service standards. • Support renewal and rate update processes by gathering required data and preparing materials. • Identify opportunities for account expansion or additional services and communicate to leadership. • Assist in maintaining high client retention and satisfaction. • Support the VP, AM to oversee client contract lifecycle activities, including renewals, amendments, participate in pricing discussions, and strategic negotiations. • Partner with internal legal, finance, underwriting, operations, and executive leadership teams to support contract strategy and execution. • Work with VP, AM to ensure contract terms align with business objectives, profitability expectations, and operational capabilities.

🎯 Requisitos

• Bachelor’s degree in Business, Healthcare Administration, or a related field. • 5-7 years of experience in account management, client services, or healthcare operations. • Experience in a strategic account management role (not solely operational account coordination). • Experience working with Medicare Advantage, Medicaid, AHCA, and/or Commercial health plan populations. • Knowledge of CMS regulations, managed care, and government-sponsored healthcare programs. • Health plan (payor) experience strongly preferred. • Experience working with health plans, provider networks, or healthcare services strongly preferred.