Account Manager, ACOs, Medicare Supplement – MediGap Health Plans

🕒 May 15

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Ceresti Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2013

⚕️ Healthcare Insurance

🤝 B2B

🔥 Funding within the last year

💰 $11.7M Venture Round - Ceresti Health on 2025-08

Healthcare Insurance • B2B

Ceresti Health is a tech-enabled care company that partners with health plans and accountable care organizations (ACOs) to support family caregivers of people living with dementia. The company combines claims-data driven risk stratification, caregiver education, a tablet-based platform, and weekly personal care navigators to improve care plan adherence, close social determinants of health gaps, and proactively detect changes in patients' conditions. Ceresti’s caregiver-led program has independently validated results showing substantial reductions in avoidable hospitalizations and per-patient medical costs, and it offers no-risk, outcomes-based contracts for payers.

📋 Description

• Serve as the primary account owner for assigned ACO and MediGap carrier partners from post-implementation through steady state • Build strong, trusted relationships with ACO leadership, operations teams, clinical leaders, and care management staff • Understand all components of the GUIDE Model and communicate GUIDE workflows to ACO care teams • Act as an internal liaison at Ceresti for each partner (ACO or MediGap carrier) • Support contract adherence, shared savings alignment (ACOs), GUIDE Model performance targets (MediGap carriers), and ongoing partnership health • Own enrollment performance for assigned ACOs and MediGap carriers • Identify opportunities to improve uptake through provider education, workflow refinement, and targeted engagement strategies • Partner with internal teams to troubleshoot enrollment barriers and optimize operational processes • Drive physician awareness and buy-in across assigned ACO networks • Enable carrier member services teams to support GUIDE Model enrollment and workflows • Build and maintain the trust and governance alignment required for Ceresti to conduct proactive outreach to eligible beneficiaries

🎯 Requirements

• Bachelor’s degree in a related field • 5+ years of experience in account management, client success, provider relations, carrier/payer relations, or partnership management within healthcare • Experience working with ACOs, Medicare Advantage plans, Medicare Supplement (MediGap) carriers, or value-based care organizations • Direct experience with MediGap carriers, CMS care model delivery, or carrier product and operations teams is strongly valued • Strong understanding of healthcare operations, provider workflows, and population health models • Proven ability to manage complex, multi-stakeholder relationships • Exceptional communication, organization, and follow-through skills • Exceptional problem-solving skills

🏖️ Benefits

• Competitive compensation • Full benefits • Remote-first environment