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Client Account Manager

2 months ago

Los Angeles, United States MedPOINT Management Full time $80,000 - $85,000
Job DescriptionJob Description

Under the direction of the PNO Senior Manager, the Client Account Manager is responsible for managing and developing relationships between Client IPA Stakeholders and MedPOINT Management. Acting as a key liaison between stakeholders, providers, and both internal and external teams, the role ensures the timely delivery of solutions that meet Client IPA needs. Additionally, the Client Account Manager supports contracting and compliance efforts, helping to maintain network adequacy and ensure adherence to regulatory requirements for Client IPA(s).

Duties and Responsibilities

·         Act as a communication link between Client IPA Stakeholders, Providers, and MedPOINT to oversee projects and urgent issues.

·         Conduct regular meetings and translate information into actionable items for improved service delivery.

·         Develop relationships with other departments to resolve provider issues and collaborate on client projects.

·         Lead Client IPA meetings, track action items, and ensure timely task completion.

·         Oversee the implementation of client projects, ensuring they are completed on time, within scope, and to client specifications.

·         Resolve contractual, operational, and payment issues, and perform root cause analysis on escalated inquiries.

·         Educate providers on new protocols and ensure HIPAA compliance.

·         Support credentialing, quality investigations, and monitor required reporting.

·         Monitor account performance metrics and prepare reports to track progress and identify areas for improvement.

·         Analyze utilization trends for potential fraud, waste, and opportunities for improvement.

·          Interface with Health Plan representatives to resolve service issues and manage special projects.

·         Perform other duties/assignments as needed.

Minimum Job Requirements

·         7+ years of Managed Care, MSO or Health Plan experience

·         Knowledge of regulatory requirements, contracts, and healthcare policy

·         Proficiency in EZ-CAP, Tableau, Smartsheet required

·         Project Management experience required

·         Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, OneNote)

Skill and Abilities

·         Establish and maintain collaborative relationships through effective verbal and written communication

·         Exhibit strong problem-solving, critical thinking, and attention to detail

·         Demonstrate professionalism while engaging with stakeholders and partners

·         Highly organized, detail-oriented, and able to manage multiple priorities in a fast-paced environment

·         Lead projects beyond standard job duties and develop training materials

·         Understand business needs, provider networks, and MSO/IPA Operations

·         Manage multiple priorities and deadlines with strong follow-through

·          Preferred knowledge of payer operations, contract language, and DOFR interpretation

MedPOINT Management, a large MSO in the San Fernando Valley, offers competitive salaries and benefits in a collaborative working environment. For immediate consideration of this position, please e-mail your resume and salary requirements to