Account Manager

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🐊 Florida – Remote

🐊 Florida – Remote

💵 $120k - $135k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Account Manager

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Health Network One

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1999

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Health Network One is a healthcare network management company that partners with health plans to manage specialty outpatient services (including outpatient therapy, routine and medical eye care, dermatology, and podiatry) under full-risk arrangements. The company operates nationally, covering over 7 million lives and contracting with tens of thousands of providers, and offers delegated services such as utilization management, credentialing, claims and network management. Health Network One emphasizes value‑based solutions, clinical quality, cost reduction for professional and facility spend, and holds NCQA accreditation and HITRUST CSF certification.

📋 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.

🎯 Requirements

• 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.