Account Manager

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Dane Street

Site WebLinkedInTous les Emplois

51 - 200 employés

⚕️ Assurance santé

📋 Conformité

🏛️ Gouvernement

Healthcare Insurance • Compliance • Government

Dane Street est un leader national dans les examens et évaluations médicales indépendants, fournissant des examens médicaux indépendants, des revues par les pairs et d'autres rapports médicaux objectifs, conformes et en temps opportun. Avec un vaste réseau de plus de 16 000 médecins, l'entreprise offre ses services dans plus de 25 000 emplacements et 100 spécialités, y compris les réclamations en matière de compensation des travailleurs, d'automobile, de responsabilité et d'invalidité. Dane Street soutient les assureurs, les administrateurs tiers, les organisations de soins intégrés et les entités fédérales/étatiques avec des analyses médicales expertes, les aidant à prendre des décisions précises. L'entreprise est reconnue pour sa qualité, ses délais d'exécution rapides et ses processus efficaces, recevant des distinctions telles que l'accréditation NCQA en gestion de l'utilisation et la certification Great Place to Work.

Description

• Managing communication for a targeted list of Workers’ Compensation and Health Plan accounts around program and case-related questions, issue detection and resolution, department escalations with a focus on account growth and development • Facilitate implementation meetings, configure client profiles, manage user access permissions, and coordinate go-live requirements. • Serve as the primary point of contact for clients by leading regular performance reviews (JOCs/QBRs), addressing inquiries, and resolving complaints. • Generate, validate, and distribute daily, weekly, and monthly performance metrics while managing ad-hoc data requests to drive strategic initiatives. • Assist with the sales pipeline by participating in scoping meetings, preparing pricing models, supporting RFP/RFI responses, and collaborating on marketing campaigns. • Coordinate contract (SOW/Addendum) renewals with legal teams. • Partner with IT and Product teams on system enhancements and user testing based on operational and client feedback. • Coordinate audits, security assessments, and remediation plans with compliance and regulatory teams. • Align client capacity requirements with recruitment priorities, ensuring network coverage meets regulatory and organizational standards.

🎯 Exigences

• An Associate’s Degree or Bachelor’s Degree is preferred. • Clinical experience preferred (LPB, RN, or CPHT) • Excellent communication skills, both written and verbal, along with a strong sense of urgency to meet our clients’ expectations • Excellent time management and attention to detail • Strong research skills with the ability to analyze and report data • 2-3 years of related experience (Account Management or Account Management support) • Workers’ Comp, Health Plan, PBM Utilization Review, Managed Care, or Claims background preferred • Experience navigating web-based systems efficiently

🏖️ Avantages

• medical, dental, and vision coverage for you and your family • voluntary life insurance options for you, your spouse, and your children • other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans • basic life insurance, short-term disability, and long-term disability coverage at no cost • generous paid time off policy ensures you have time to relax and recharge • 401k plan with a company match helps you plan for your future • Apple equipment and a media stipend are provided for remote workspace