Director of Account Management

🕒 il y a 1 mois

🏄 California – Distant

🏄 California – Remote

💵 $140 000 - $150 000 / an

⏰ Temps Plein

🔴 Expert

💰 Responsable de comptes

👻 Score fantôme 17%

Ce que ça veut dire : la probabilité que personne ne recrute vraiment pour cette offre.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Vynca

Site WebLinkedInTous les Emplois

51 - 200 employés

Fondée en 2014

💼 Conseil

⚕️ Assurance santé

🏥 Santé

Consulting • Healthcare Insurance • Healthcare

Vynca est une entreprise de soins de santé spécialisée dans les soins palliatifs pour les patients atteints de maladies graves. L'organisation se concentre sur l'amélioration de la gestion des soins en fournissant un soutien qui inclut la gestion de la douleur, le conseil en santé mentale, le soutien spirituel et la planification anticipée des soins. Vynca vise à aider les patients à naviguer dans les maladies chroniques et les soins complexes, en assurant qu'ils reçoivent un soutien complet d'une équipe dédiée de professionnels de santé, tant en personne que virtuellement. Les services sont souvent couverts par les principales compagnies d'assurance, apportant les soins essentiels directement aux patients dans leurs foyers ou par le biais de la télémédecine.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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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