Provider Engagement Account Manager- Key Accounts

3 weeks ago

Buffalo, United States CINQCARE Full time
Job DescriptionJob Description

CINQCARE

PROVIDER ENGAGEMENT ACCOUNT MANAGER – KEY ACCOUNTS

Position Description

 

Overview

The Provider Engagement Account Manager– Key Accounts is a business development position designed to cultivate and grow relationships with select contracted providers. This position serves as a liaison between CINQCARE and the provider and is responsible for the accomplishment of both health care and business objectives as established for each key account.

 

The Provider Engagement Account Manager – Key Accounts reports to the NY Director of Network Management with accountability for providing strategy, judgment, organization, and evidenced-based analysis to influence decisions, and directly to meet CINQCARE requirements. They should embody CINQCARE’s core values, including, Trusted, Empathetic, Committed, Humble, Creative and Community-Minded. At CINQCARE, we don’t have patients or customers – we have Family Members.

 

This position will coordinate interaction between CINQCARE and key practices in the Downstate New York market. Interaction will include, but not be limited to, practice transformation, care management, quality improvement, membership growth (including Health Home penetration), system integration, SDOH referrals, contract compliance and budget performance. Additionally, this position will be responsible for deep knowledge of competitor programs; be they payor’s, other provider organizations or other third parties, to assure that CINQCARE remains competitive with its offerings and support.

 

The Provider Engagement Account Manager will monitor progress through the establishment of a Joint Operating Committee (JOC) that will be convened periodically with each provider account, but no less than quarterly to review progress against key objectives. The JOC will be comprised of clinical and administrative leaders from both the provider’s practice and CINQCARE. To facilitate discussion and evaluation of progress at the JOC this position will be responsible for obtaining and distributing reports that capture performance against key objectives.

 

The Provider Engagement Account Manager is responsible for the development and maintenance of account project plans and updates to support our ability to track progress. It is expected that this leader will advise responsible parties in both organizations when corrective action is called for and will request strategies and actions to address shortfalls in provider performance.

Job Responsibilities

The Provider Engagement Account Manager– Key Accounts will have the following responsibilities:

  • Develop mutually acceptable set of goals and objectives for each key account by product line offering (e.g. Medicaid, Medicare, ACO REACH, PACE, MAPP/DSNP, MSO)
  • Plan execute and manage account plans and projects through a collaborative effort with both CINQCARE and Key Accounts
  • Provide regular updates, respond to inquiries, and address key account concerns in a timely manner
  • Manage Joint Operating Committee Meetings
  • Assure that CINQCARE’s internal resources and priorities are aligned with key account objectives and advise leadership where there is opportunity for improvement
  • Conduct market analysis and evaluate competitor’s practice and market status
  • Develop plans to displace competition
  • Maintain complete organizational knowledge and product and services familiarity
  • Add value by conveying useful industry, government and practice innovation trends and initiatives
  • Maintain and update key account contact records
  • Assure team selling efforts are in place and coordinated for Health Home and payer membership growth
  • Assure Key Account satisfaction
  • Meet or exceed individual key account P+L objectives

 

General Duties

The Provider Engagement Account Manager – Key Accounts shall have the following duties:

  • Leadership: Lead in defining and executing strategies and solutions to create business value in assigned area, including identifying and collaborating with key team members to design, develop, and execute those strategies and solutions to deliver desired outcomes.
  • Strategy: Establish the business strategy and roadmap: (1) improve outcomes for CINQCARE members; (2) enhance the efficacy of other CINQCARE business divisions; and (3) develop and deliver external market opportunities for CINQ Care products and services. In establishing the business strategy, the Provider Engagement Account Manager– Key Accounts will be an active participant in defining and contributing to the innovation of sustainable revenue models to drive profitability for the Company.
  • Collaboration: Ensure that provider account management and servicing capabilities form a cohesive offering, including by working closely with other business divisions to learn their needs, internalize their knowledge, and define solutions to achieve the business objectives of CINQCARE
  • Knowledge: Provide subject matter expertise in account management solutions, including determining and recommended approaches for provider engagement, relationship management, information sharing, education, solution deployment and performance evaluation.
  • Culture: Is accountable for creating a productive, collaborative, safe and inclusive work environment for the Provider Network team and as part of the larger Company.

Qualifications

The Provider Engagement Account Manager– Key Accounts should have the following qualifications:

  • Education. Bachelor’s degree in business administration or other management related field;
  • Experience. Minimum of 5 years experience in managed care or other health care related relationship management position(s). Appreciation for details with ability to read and understand provider contracts;
  • Entrepreneurial. CINQ seeks to fix gaps that have persisted for generations in the delivery of care to Black and Brown populations. This position is accountable for ensuring CINQ is positioned to innovatively deliver on its promise by influencing stakeholders and working closely with them to determine acceptable outcomes;
  • Communication. Experience giving detailed reports and presentations. Competency using computer software to facilitate presentations and reporting. Excellent planning, organizational, and time management skills;
  • Relationships. Ability to build and effectively manage relationships with business leaders and external constituents as well as internal stake holders and team members;
  • Culture. Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding and entrepreneurial Company.

 

Location: The position is based in Upstate, New York.

Compensation: $75K - $95K

 

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