Director, Group Medicare Account Management

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $124.1k - $294.3k / year

⏰ Full Time

🔴 Lead

💰 Account Manager

🦅 H1B Visa Sponsor

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Lead Group Medicare account management performance, client retention, experience, renewal readiness, and continuous improvement • Translate client engagement strategy into consistent execution across an assigned portfolio, team, or functional area • Lead client value delivery and tailor account plans based on risk, value, and client needs • Build senior client relationships and lead governance forums, business reviews, and escalated issue resolution • Coordinate Sales, Pricing, Finance, Network, Stars, Clinical, Operations, Digital, Marketing, and Product partners • Promote Stars and clinical actions to improve health outcomes and CMS Stars metrics • Monitor account performance, financial metrics, client satisfaction, risks, and opportunities • Develop contract amendments, obtain legal approval, and secure renewal package signatures • Lead renewal planning, RFP activities, negotiations, pricing coordination, and renewal deliverables • Oversee implementation of new business and renewals, including implementation planning and ongoing management support • Serve as an escalation point for account management, sales, implementation, internal partners, and clients • Implement AI and automation capabilities across Account Management workflows • Identify and scale automation use cases in renewal preparation, reporting, meeting follow-up, member engagement, and knowledge management • Drive Client and Member NPS improvement through feedback analysis, root-cause prioritization, onboarding, service, communications, and outreach improvements • Build and sustain a high-performing, client-centric team; set goals, coach employees, address performance gaps, and support succession readiness • Conduct monthly or more frequent meetings with assigned Sr. AEs, AEs, and CEPs • Set retention targets and ensure associated sales incentive payments are accurate

🎯 Requirements

• Bachelor's degree in business, healthcare administration, or a related field; advanced degree preferred • Extensive experience, typically 8+ years, in Medicare, managed care, health insurance, or a regulated industry • 2–5+ years of people leadership experience • Expertise in client relationship management, regulatory compliance, and cross-functional collaboration • Knowledge of client engagement, account management, renewals, service delivery, and financial or operational performance management • Strong presentation and meeting facilitation skills • Negotiation and conflict resolution skills • Communication, customer service, and collaboration skills • Ability to influence senior leaders and cross-functional partners • Ability to communicate complex information clearly and translate strategy into executable plans • Track record of developing talent, leading change, improving retention and experience, and building scalable operating practices • Working knowledge of AI-enabled tools, automation, data governance, and responsible adoption in business workflows preferred • Ability to travel 50% or more • Life and health license • Minimum download speed of 25 Mbps and upload speed of 10 Mbps for home or hybrid home/office work • Dedicated workspace without ongoing interruptions to protect member PHI / HIPAA information

🏖️ Benefits

• Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Remote work arrangement • Occasional travel to Humana offices for training or meetings • Self-provided internet service for home or hybrid home/office employees • Dedicated workspace to protect member PHI / HIPAA information