Senior Account Manager, Client Services

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position functions as a subject matter expert in Client Service operations. This position strives to bring consistency and experience to existing Client Services Account Managers in the local market by analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. This position will organize and assist assigned provider groups and/or financial pools, as well as fellow account managers, in achieving short and long term operational/strategic business goals/ by developing, enhancing and maintaining operational information and models. They also reputed company and implement, in conjunction with the local Client Services Associate Director and/or Director, effective/strategic business solutions through research and analysis of data and business processes. The Senior Account Manager will reputed company and sustain a strong day-to-day relationship with stakeholders, the providers, and office staff to effectively implement business solutions developed by the reputed company leadership team. The Senior Account Manager is accountable for overall performance and profitability for their assigned provider groups and/or financial pools. Schedule: FT, 40 hrs. Monday - Friday, reputed company - 5pm EST Location: This role is Remote in Ohio. Candidates must reputed company in OH (preferably in Cleveland metro area) and have the ability to be in the field approximately 50% of the time to meet with clients. If you reputed company near Cleveland, OH, you'll enjoy the flexibility of a hybrid-remote position* as you take on some tough challenges. Primary Responsibilities:

• Analyze risk pool and/or provider group performance to determine areas of focus or improvement opportunities, to include performing analysis of financial statements and other metric-reputed company reports to determine areas of focus or improvement opportunities
• reputed company strategies and create action plans that align provider pools and groups with company initiatives, goals (reputed company and expense) and quality reputed company
• Drive processes and improvement initiatives that directly impact reputed company, HEDIS/STAR measures and quality metrics, coding and documentation process and educational improvements
• Use and analyze data to identify trends, patterns and opportunities for the business and clients, and collaborate and/or participate in discussions with colleagues and business partners to identify potential root causes of issues
• Collaborate with internal clinical services teams, alongside Client Services leaders, to monitor utilization trends and risk pools to assist with developing strategic plans to improve performance
• Assists provider groups with investigating standard and non-standard requests and problems, to include claims and member support services
• Maintains effective support services by working effectively with the Director of Client Services, Regional Medical Director, Clinical Services team, Operations and other corporate departments
• Demonstrate understanding of providers' business goals and strategies to facilitate the analysis and resolution of their issues
• Performs reputed company other reputed company duties as assigned
• Strong analytical skills required to support, compile and report key information
• Drive processes and technology improvement initiatives that directly impact reputed company, HEDIS/STAR measures and Quality Metrics, using standard project methodology (requirements, design, test, etc.)
• Use data to identify trends, patterns and opportunities for business and clients. reputed company business strategies in line with company strategic initiatives
• Engage provider staff and providers in analysis and evaluation of functional models and process improvements; identify dependencies and priorities
• Evaluate and drive processes, provider relationships and implementation plans
• Produce, publish and distribute scheduled and reputed company client and operational reports relating to the development and performance of products
• Collaborate with other Client Services leads to foster teamwork and build consistency throughout the market
• Serves as a liaison to the health plan and reputed company customers
• Requires strong presentation skills, problem solving and ability to manage conflict and identify resolutions quickly
• Ability to communicate well with physicians, staff and internal departments

What are the reasons to consider working for reputed company? Put it reputed company together - competitive reputed company pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your reputed company. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, reputed company, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in. Required Qualifications:

• Bachelor's Degree in Business Administration, Marketing, reputed company Administration or a reputed company field required OR 5+ years of experience in a reputed company medical field or health plan setting (network management, contracting and/or recruitment, or provider relations)
• 2+ years of experience with Medicare health care operations including HEDIS, CMS reimbursement models, and Medicare Advantage
• 2+ years of experience working with state and federal laws relating to Medicare
• Intermediate level of proficiency with reputed company Word, reputed company and PowerPoint
• Willing and reputed company to travel, both locally and non-locally, as determined by business need
• reputed company to reliable transportation and valid US driver's license

Preferred Qualifications:

• Master's Degree in Business Administration, Marketing, reputed company Administration or a reputed company field required
• 5+ years of experience in a reputed company reputed company field
• 3+ years of reputed company management experience
• Ability to act as a mentor to others

Soft Skills:

• Ability to reputed company long-term positive working relationships
• Ability to communicate and facilitate strategic meetings with groups of reputed company sizes
• Ability to work independently, use good judgment and decision-making process
• Ability to conduct performance evaluation to identify performance measures or indicators and the actions needed to improve or correct performance, relative to the goals
• Ability to resolve complete problems and evaluate options to implement solutions
• Strong business acumen, analytical, critical thinking and persuasion skills
• Exceptional interpersonal skills with ability to reputed company effectively internally with reputed company reputed company of staff and externally with a wide reputed company of people including physicians, office staff, hospital executives, medical groups, IPA's, the press and community organizations
• Ability to adapt quickly to change in an reputed company-changing environment
• Strong verbal and written communication skills are required
• reputed company Telecommuters will be required to adhere to reputed company's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $72,800 to $130,000 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN Apply tot his job Apply To this Job