Healthcare Account Manager
5 days ago
As a key member of our team at AdventHealth, the Account Manager plays a vital role in managing and coordinating the integration of Health Plans, Government Programs, Employers, MA and Individual contracting with the Population Health Services Organization (PHSO) and AdventHealth provider network.
The Account Manager is responsible for supporting business growth and retention by developing and maintaining effective account management strategies that achieve contract outcome success.
Key responsibilities include managing populations ranging between 25 – 75K lives with complicated plan designs, sensitive administrative duties in multiple regions, and participating in strategic and general business planning for the growth and development of the PHSO.
The ideal candidate will have a Bachelor's degree in a related field, such as Business, Marketing, or Communications, and a minimum of three years of experience in the field of health insurance.
Additional requirements include strong negotiation and communication skills, the ability to work with clients to understand their concerns and needs, and a commitment to outstanding customer service.
As a valued member of our team, the Account Manager will have the opportunity to make a meaningful impact on the lives of our patients and communities.
Key Responsibilities:
- Develop and manage effective primary relationships with key stakeholders
- Support professional negotiation, responsive communication, and problem resolution to meet customer expectations
- Work with clients to understand their concerns and needs and act as liaison between the PHSO departments and the customers
- Gather underwriting data, review claims experience, and prepare a summary justifying the renewal and recommending changes when appropriate
- Reviews contract provisions and administrative issues with leadership and pursues opportunities to improve profitability and retention
- Follow expectations for tracking activity in designated software program
- Supports and is actively involved with the provider reps and negotiation teams in the acquisition, submission, and implementation of accounts
- Lead and coordinate the submission, set up, and implementation of assigned new populations with the PHSO teams
- Partners with the Health plans to facilitate the enrollment process
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