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Director of Account Management

🕒 vor 1 Monat

🏄 California – Remote

infoinfo

💵 $140.000 - $150.000 / Jahr

⏰ Vollzeit

🔴 Experte

💰 Account Manager

🗣️🇺🇸🇬🇧 Englisch erforderlich

Woher diese Stelle stammt

Veröffentlicht auf der Karriereseite von Vynca, nicht über eine Jobbörse

Von Remote Rocketship zum ersten Mal gesehen vor 1 Monat

Noch offen auf der Website von Vynca. Geprüft vor 10 Stunden.

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Vynca

51 - 200 Mitarbeiter

Gegründet 2014

💼 Beratung

⚕️ Krankenversicherung

🏥 Gesundheitswesen

Consulting • Healthcare Insurance • Healthcare

Vynca ist ein Gesundheitsunternehmen, das sich auf Palliativpflege für Patienten mit schweren Erkrankungen spezialisiert hat. Die Organisation konzentriert sich auf die Verbesserung des Pflegemanagements durch Unterstützung, die Schmerztherapie, psychologische Beratung, spirituelle Unterstützung und Vorausplanung der Pflege umfasst. Vynca zielt darauf ab, Patienten bei der Bewältigung chronischer Erkrankungen und komplexer Pflege zu helfen, indem sichergestellt wird, dass sie umfassende Unterstützung von einem engagierten Team von Gesundheitsfachleuten erhalten, sowohl persönlich als auch virtuell. Die Dienstleistungen werden häufig von großen Versicherungsgesellschaften abgedeckt, wodurch wesentliche Pflege direkt zu den Patienten nach Hause gebracht wird oder über Telemedizin-Fähigkeiten bereitgestellt werden.

Beschreibung

• Build and lead the success, growth, and retention of health plan partnerships • Serve as relationship owner and primary client advocate for value-based health plan partnerships • Build trusted relationships across multiple plan stakeholders • Understand client strategic priorities, population health goals, and success metrics • Establish and maintain scalable account management processes and playbooks • Drive adoption and performance of Enhanced Care Management and support active partnerships • Monitor contracted metrics, Medi-Cal/DHCS requirements, and CalAIM deliverables • Own day-to-day relationships against MSAs and contract terms, including SLAs • Drive revenue realization through contract renewals, rate negotiations, and amendments • Develop strategic account plans identifying risks, opportunities, and growth pathways • Identify upsell and cross-sell opportunities, including expansion into additional CalAIM Community Supports programs • Forecast revenue and account health across the portfolio • Lead monthly or quarterly business reviews with clients • Monitor KPIs, SLAs, operational outcomes, ROI, savings, quality, and growth • Track DHCS policy and CalAIM program changes and translate them into partner guidance and account strategy • Coordinate eligibility files, claims/encounter data exchange, and authorization workflows • Troubleshoot enrollment mismatches, claims denials, and encounter data rejections • Manage escalations when service delivery breaks down • Build and deliver regular performance and quality dashboards • Coordinate with clinical, IT/data, finance, and legal teams to resolve plan issues • Escalate contract risks before they become retention crises

🎯 Anforderungen

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field required • 10+ years of experience in account management, client partnerships, or strategic client success working with organizations servicing health plans in government-sponsored lines of business • 5+ years of experience with managed Medicaid and CalAIM • Direct working knowledge of Enhanced Care Management (ECM) required • Familiarity with California Integrated Care Management (CICM) and Community Supports (CS) highly preferred • Experience partnering with health plans, value-based care organizations, health systems, and community-based provider networks, including ECM Lead Entities • Strong understanding of Medi-Cal managed care contracting, DHCS requirements, and CalAIM policy guides • Strong commercial acumen, including experience with contracts, pricing models, and margin management • Track record of managing a high-value client portfolio, with measurable success in retention and partnership expansion • Exceptional interpersonal and executive communication skills • Working knowledge of healthcare regulatory and compliance standards, including HIPAA and other requirements relevant to payer and provider partnerships • Experience using CRM platforms and reporting tools; HubSpot experience highly preferred • Willingness and ability to travel up to 25% for client meetings and team collaboration • Must be located in California • Must be legally authorized to work in the United States • Influenza vaccination required for patient-, client-, or customer-facing roles • Background check, potentially including drug test or other health screenings, required prior to employment • Identity and work eligibility verification using E-Verify upon hire

🏖️ Vorteile

• Medical, dental, and vision insurance • Income protection benefits • Flexible PTO • Company holidays • 401k • Access to other wellness benefits • Mileage reimbursement for field roles per IRS guidelines • Bonus compensation

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