Account Manager, ACOs, Medicare Supplement

🕒 May 15

🇺🇸 United States – Remote

💵 $100k - $110k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Account Manager

👻 Ghost score 35%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Ceresti Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2013

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 B2B

💰 $11.7M Venture Round - Ceresti Health on 2025-08

Healthcare • Healthcare Insurance • B2B

Ceresti Health is a tech-enabled care company that partners with health plans and accountable care organizations (ACOs) to support family caregivers of people living with dementia. The company combines claims-data driven risk stratification, caregiver education, a tablet-based platform, and weekly personal care navigators to improve care plan adherence, close social determinants of health gaps, and proactively detect changes in patients' conditions. Ceresti’s caregiver-led program has independently validated results showing substantial reductions in avoidable hospitalizations and per-patient medical costs, and it offers no-risk, outcomes-based contracts for payers.

📋 Description

• Serve as the primary account owner for assigned ACO and MediGap carrier partners from post-implementation through steady state • Build trusted relationships with ACO leadership, operations teams, clinical leaders, care management staff, and MediGap carrier product, compliance, and member services teams • Understand and communicate GUIDE Model workflows to ACO care teams • Help MediGap carriers operationalize Ceresti’s program for their member populations • Act as Ceresti’s internal liaison for each partner and address partner needs, constraints, and priorities • Support contract adherence, shared savings alignment, GUIDE Model performance targets, and partnership health • Own enrollment performance, including referral flow, member outreach, program utilization, outreach effectiveness, and caregiver activation • Improve uptake through provider education, workflow refinement, targeted engagement, carrier marketing integration, and member communications • Drive physician awareness and buy-in across assigned ACO networks • Enable carrier member services teams to support GUIDE Model enrollment and workflows • Coordinate patient-, provider-, and carrier-facing materials, training, and communications • Build trust and governance alignment for proactive outreach to eligible beneficiaries • Own approvals, workflows, and communication protocols for proactive enrollment • Coordinate with Implementation, GUIDE Coordinators, Coaching, and Operations teams • Support CCLF data file refreshes, carrier eligibility file exchanges, data-sharing workflows, and outreach approvals • Monitor operational SLAs, outreach cadence, member experience, compliance, enrollment, engagement, outcomes, and operational performance • Lead recurring partner check-ins and business reviews • Deliver data-driven updates and executive-ready insights to ACO and MediGap carrier stakeholders

🎯 Requirements

• Bachelor’s degree in a related field • 5+ years of experience in account management, client success, provider relations, carrier/payer relations, or partnership management within healthcare • Experience working with ACOs, Medicare Advantage plans, Medicare Supplement (MediGap) carriers, or value-based care organizations • Direct experience with MediGap carriers, CMS care model delivery, or carrier product and operations teams is strongly valued • Strong understanding of healthcare operations, provider workflows, and population health models • Proven ability to manage complex, multi-stakeholder relationships • Exceptional communication, organization, and follow-through skills • Exceptional problem-solving skills • Experience supporting CMS models such as GUIDE, MSSP, or ACO REACH • Familiarity with caregiver support, dementia care, home care, or care management models • Experience managing carrier or health plan accounts, including CMS model implementation, member engagement, or GUIDE-adjacent program delivery • Experience presenting performance data and outcomes to executive audiences • Comfort working in a high-growth, fast-moving startup environment • Experience with HubSpot is a plus

🏖️ Benefits

• Full benefits • Remote-first environment • Competitive compensation