Delegation Oversight Account Manager II
4 weeks ago
The Delegation Oversight Account Manager II serves as the single point of contact between L.A. Care and its contracted entities as it relates to delegate performance. This role is responsible for facilitating the collection of performance-related data, following up on outstanding data, facilitating annual audit processes, triaging notices of non-compliance, and executing the internal and delegate communications strategy.
Duties:
Executes a single point of contact communication and account management strategy for all delegates as it relates to performance. Serves as a communication link between assigned accounts and LAC.
Completes regularly scheduled meetings (site visits, or conference calls) with all accounts. Translates information exchange, ideas, requests, and other inquiries into actionable items for improved relationship management and enhanced performance.
Responsible for the project management and facilitation and collection of monitoring, reporting, and audit activities and liaises with business units and auditors in the coordination of each activity.
Serves as the conduit through which all communications flow between business units and their counterparts at delegated entities. Conducts internal monthly meetings with stakeholders reviewing delegate performance.
Implements communication protocols to ensure all delegates are consistently and uniformly informed of L.A. Care's expectations and their performance. Delivers accurate, timely, and appropriate information to their assigned accounts and maintains a repository of all communications.
Communicates to delegates include but not be limited to: 1. Data submissions, 2. Monitoring results, 3. Audit Results, 4. Remediation Efforts, 5. CAP Statuses, 6. Sanctions decisions, 7. Delegate responses and updates.
Drafts and sends monthly delegate newsletters for performance information impacting all delegates and celebrating high-performing delegates.
Requirements:
At least 3 years of experience in provider relations, account management, or relationship management in managed care or healthcare industry.
At least 3 years of healthcare experience in Managed Care; or, with a physician group, clinical-based organization, and/or in a hospital/facility setting.
Skills:
Good organizational skills and demonstrate excellent attention to detail and follow-up skills.
Competent computer skills; MS Office skills required.
Excellent customer service skills with the ability to make independent judgments, handle multiple projects simultaneously, adapt to shifting priorities, and utilize time management skills to meet deadlines.
Must have excellent written and verbal communications skills and the ability to communicate effectively with management and non-management personnel, and LAC provider network physicians.
Possess a professional and mature demeanor at all times.
Ability to work in a fast-paced department independently and handle multiple tasks; work with interruptions and deal effectively with confidential information.
Proven ability to work with a diverse group of people, including physicians, support staff, coworkers, and management.
Demonstrated ability to research issues and bring about resolution either directly or with the assistance of others.
Additional Information:
Travel to offsite locations for work.
L.A. Care offers a wide range of benefits including Paid Time Off (PTO), Tuition Reimbursement, Retirement Plans, Medical, Dental, and Vision, Wellness Program, and Volunteer Time Off (VTO).
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