Client Account Manager
2 weeks ago
We are seeking a highly skilled Client Account Manager to join our team at MedPOINT Management. As a key liaison between Client IPA stakeholders, providers, and internal teams, you will be responsible for ensuring the timely delivery of solutions that meet Client IPA needs.
Key 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.
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)
Preferred Qualifications:
- Knowledge of payer operations, contract language, and DOFR interpretation
MedPOINT Management offers competitive salaries and benefits in a collaborative working environment. If you are a motivated and detail-oriented professional looking for a challenging role, please submit your resume and salary requirements for consideration.
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