Healthcare Account Manager

Location: Detroit, MI
Date Posted: 02-01-2018
CareNational
Healthcare Account Manager – Managed Care
Detroit, MI
 
Healthcare Account Manager Job Summary:
  • The Account Manager will manage key payor relationships in the market.
  • Includes matrix and cross-functional facilitation of internal and external relationships between corporate functions, local market teams and health plan partner functions.
  • Maintain close relationships with key stakeholders within payor partner organizations
  • Engage cross-functional corporate teams, including but not limited to Finance, Utilization Management, Care Management, Quality and Risk Adjustment, Compliance, Contracting, Sales and Marketing, to ensure best-in-class execution of payor relationships
  • Identify and assist in the resolution of issues associated with complex payor relationships, including issues related to: implementation, data exchange, compliance, care delivery, etc.
  • Schedule, coordinate and develop materials for regular payor touchpoints and JOCs with the appropriate local and corporate leadership
  • Responsible for oversight of follow up items due to payors, engaging other departments to ensure all business requirements and defined service level agreements with the payor are met
  • Support local Market President with all payor-related engagements, needs requests, issue resolutions and growth opportunity identification and evaluation
  • Maintain reporting dashboard for each payor relationship to include all delegated activities, operational risks, status on implementation or outstanding items, etc.
Healthcare Account Manager Background:
  • Required Bachelor of Science (B.S.) or Bachelor of Arts (B.A.); MBA or similar advanced degree strongly preferred
  •  Strong independent contributor with forward looking goals of market leadership and P&L ownership
  • At least 5 years of experience in healthcare with 3 years of experience managing payor and provider relationships or internal operations/account management and service delivery expectations
  • Proven track record of strong project management experience
  • Proficiency with Microsoft Office applications
  • Excellent analytical, oral and written communication skills
  • Ability to work with diverse stakeholders and think strategically.
 

​#Admin

 
 
LINDSEY LARSON, CHP
Associate Search Consultant
CareNational Healthcare Services
lindsey@carenational.com
480.448.6498 (CALL – TEXT – FAX)
GET INFORMED with CareNational.tv
Managed Care News and more!
CareNational.com
Sign-Up for Job Alerts
 
or
this job portal is powered by CATS