Account Manager

Emploi pas sur LinkedIn

🕒 il y a 13 jours

🐊 Florida – Distant

🐊 Florida – Remote

💵 $120 000 - $135 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

💰 Responsable de comptes

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Health Network One

Site WebLinkedInTous les Emplois

201 - 500 employés

Fondée en 1999

⚕️ Assurance santé

🤝 B2B

Healthcare Insurance • B2B

Health Network One est une société de gestion de réseaux de soins de santé qui s'associe à des régimes de santé pour gérer des services spécialisés en ambulatoire (y compris la thérapie en ambulatoire, les soins oculaires de routine et médicaux, la dermatologie et la podiatrie) sous des contrats à risque total. L'entreprise opère à l'échelle nationale, couvrant plus de 7 millions de personnes et contractant avec des dizaines de milliers de prestataires, et offre des services délégués tels que la gestion de l'utilisation, l'accréditation, la gestion des réclamations et des réseaux. Health Network One met l'accent sur des solutions basées sur la valeur, la qualité clinique, la réduction des coûts pour les dépenses professionnelles et d'établissement, et détient l'accréditation NCQA et la certification HITRUST CSF.

Description

• 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.

🎯 Exigences

• 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.