Account Manager

Stelle nicht auf LinkedIn

🕒 vor 2 Tagen

🐊 Florida – Remote

🐊 Florida – Remote

💵 $120.000 - $135.000 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

💰 Account Manager

Jetzt Bewerben

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Health Network One

WebsiteLinkedInAlle Stellen

201 - 500 Mitarbeiter

Gegründet 1999

⚕️ Krankenversicherung

🤝 B2B

Healthcare Insurance • B2B

Health Network One ist ein Unternehmen für Gesundheitsnetzwerkmanagement, das mit Krankenversicherungen zusammenarbeitet, um spezialisierte ambulante Dienste (einschließlich ambulanter Therapie, routinemäßiger und medizinischer Augenpflege, Dermatologie und Fußpflege) unter Vollrisiko-Vereinbarungen zu verwalten. Das Unternehmen ist landesweit tätig, deckt über 7 Millionen Leben ab und arbeitet mit Zehntausenden von Anbietern zusammen. Es bietet delegierte Dienstleistungen wie Nutzungsmanagement, Akkreditierung, Schadens- und Netzwerkmanagement an. Health Network One legt Wert auf wertorientierte Lösungen, klinische Qualität, Kostensenkung für fachliche Ausgaben und Einrichtungsaufwand, und besitzt eine NCQA-Akkreditierung sowie eine HITRUST CSF Zertifizierung.

Beschreibung

• 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.

🎯 Anforderungen

• 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.