Medicaid Account Manager

7 days ago

Mason, OH, United States EssilorLuxottica Full time
Requisition ID: 904651
Store #: 110384 EM Reseller Dev - OH CSC
Position:Full-Time
Total Rewards: Benefits/Incentive Information

At EyeMed, we have a unique perspective on vision benefits. By listening and staying curious, we create innovative vision benefits that are a joy to use.

Our mission is to help people see life to the fullest-and our commitment goes beyond vision benefits. Our passionate employees proudly support the OneSight EssilorLuxottica Foundation, a leading not-for-profit organization with a 100% focus on eradicating the world's vision crisis.

EyeMed is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions. Join our global community of over 200,000 dedicated employees around the world in driving the transformation of the eyewear and eyecare industry. Discover more by following us on LinkedIn.

GENERAL FUNCTION

The Market Manager - Reseller, Medicaid is responsible for developing strategic relationships and managing ongoing support of multiple state Medicaid programs administered by our reseller partners. This role fosters relationships with internal and external stakeholders, supports operational needs and implements growth objectives of the assigned line of business within our strategic partner. The Market Manager helps to achieve annual membership, retention, revenue and profitability goals. EyeMed's Strategic Partner segment includes many large national and regional health and/or specialty insurance plans.

MAJOR DUTIES AND RESPONSIBILITIES
  • Builds and maintains strong relationships cross-functionally within Medicaid health plan partners at multiple levels.
  • Supports strategic business plans focused on retention, growing business, and achieving financial targets for assigned Strategic Partner.
  • Serves as a thought leader and vision care expert internally and externally to develop innovative processes / successes.
  • Consults with external Strategic Partner stakeholders to identify and achieve goals of both EyeMed and the Strategic Partner organizations.
  • Successfully represents client needs within internal organization and influences key internal teams to achieve client focused expectations and implement client requests.
  • Collaborates with Medicaid state partners to ensure benefits are aligned with state requirements and are also competitive in the market.
  • Supports compliance efforts including State and/or client delegation audits
  • Maintains solid understanding and ensures consistent delivery of Strategic Partner's ongoing operational and reporting requirements and expectations. Provides direct support for required reporting and other client deliverables.
  • Successfully manages client initiatives internally, while maintaining excellent communication skills to external partners.
  • Serves as the primary point of contact for client service needs, researching, analyzing, and driving for resolution in collaboration with internal partners.
  • Creates and presents external facing presentations of metrics, projects, and trends and acts as the vision expert for the partner(s).
BASIC QUALIFICATIONS
  • Bachelor's degree
  • 5+ years account management experience, preferably within government programs
  • Exceptional verbal and written professional communication skills
  • Strong presentation skills and executive presence
  • Strong analytical and project management skills
  • Demonstrated successful results and accomplishments in account management-based role
  • Experience in building and negotiating contract terms with large, complex clients
PREFERRED QUALIFICATIONS
  • Experience working with government programs - ideally Medicaid
  • Experience in the health insurance field with exposure to managed care
  • Working knowledge of Medicaid regulations, standards, and processes


Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements. In addition, you may also be offered a competitive bonus and/or commission plan, which complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various employee discounts.

EssilorLuxottica complies with all applicable laws related to the application and hiring process. If you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law. Native Americans in the US receive preference in accordance with Tribal Law.

  • Medicaid EDI Manager

    2 weeks ago

    Mason, OH, United States RAPS CONSULTING INC Full time

    Hybrid or Remote: Hybrid in office 3 days a week Specific Skills Needed: Top 3-5 mandatory and/or minimum requirements bility to analyze claims data Develop standard and custom testing plans to ensure compliance with requirements Maintain detailed documentation and process flow of all EDI processes Top 3-5 desirable attributes/qualifications? HIPAA X12 EDI...

  • Recovery Manager

    7 days ago

    Mason, OH, United States CareStar Full time

    Recovery Manager - Warren, Hamilton, Clermont, Clinton, Butler, and Montgomery Counties, OhioCompany: CareStar, Inc. Location: Warren, Hamilton, Clermont, Clinton, Butler, and Montgomery Counties, Ohio (and surrounding areas) Job Type: Full-Time | Remote with Field Visits Industry: Healthcare / Social Services / Case Management About the Opportunity at...

  • Recovery Manager

    3 days ago

    Mason, OH, United States CareStar Full time

    Recovery Manager - Warren, Hamilton, Clermont, Clinton, Butler, and Montgomery Counties, OhioCompany: CareStar, Inc. Location: Warren, Hamilton, Clermont, Clinton, Butler, and Montgomery Counties, Ohio (and surrounding areas) Job Type: Full-Time | Remote with Field Visits Industry: Healthcare / Social Services / Case Management About the Opportunity at...

  • Account Coordinator

    1 week ago

    Mason, OH, United States EssilorLuxottica Full time

    Requisition ID: 909029 Store #: 111319 EM Acct Supports - OH CSC Position:Full-Time Total Rewards: Benefits/Incentive Information At EyeMed, we have a unique perspective on vision benefits. By listening and staying curious, we create innovative vision benefits that are a joy to use. Our mission is to help people see life to the fullest-and our commitment...

  • Account Coordinator

    2 weeks ago

    Mason, OH, United States EssilorLuxottica Full time

    Requisition ID: 909029 Store #: 111319 EM Acct Supports - OH CSC Position:Full-Time Total Rewards: Benefits/Incentive Information At EyeMed, we have a unique perspective on vision benefits. By listening and staying curious, we create innovative vision benefits that are a joy to use. Our mission is to help people see life to the fullest-and our commitment...

  • Account Coordinator

    1 week ago

    Mason, OH, United States EssilorLuxottica Full time

    Requisition ID: 909029 Store #: 111319 EM Acct Supports - OH CSC Position:Full-Time Total Rewards: Benefits/Incentive Information At EyeMed, we have a unique perspective on vision benefits. By listening and staying curious, we create innovative vision benefits that are a joy to use. Our mission is to help people see life to the fullest-and our commitment...

  • Healthcare Data Analyst

    1 day ago

    Mason, OH, United States Global Channel Management Full time

    About the job Healthcare Data Analyst Data Analyst needs 3+ years experience in Operations in the Healthcare industry Data Analyst requires: Experience understanding claim adjudication for member and provider reimbursements. Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration Knowledge of Medicare and Medicaid...

  • Healthcare Data Analyst

    1 week ago

    Mason, OH, United States Global Channel Management Full time

    About the job Healthcare Data Analyst Data Analyst needs 3+ years experience in Operations in the Healthcare industry Data Analyst requires: Experience understanding claim adjudication for member and provider reimbursements. Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration Knowledge of Medicare and Medicaid...

  • Configuration Analyst/Administrator

    6 days ago

    Mason, OH, United States ObjectWin Technology Full time

    Configuration Analyst/Administrator 4000 Luxottica Place, Mason, OH 45040 - Hybrid (2 days/week onsite) 2+ Months contract bout the Role EyeMed is seeking a Sr. Configuration Analyst to join the Business Configuration Solutions team. This role is approximately 60% hands-on configuration and 40% cross-functional leadership-facilitating and representing...

  • Configuration Analyst/Administrator

    7 days ago

    Mason, OH, United States ObjectWin Technology Full time

    Configuration Analyst/Administrator 4000 Luxottica Place, Mason, OH 45040 - Hybrid (2 days/week onsite) 2+ Months contract bout the Role EyeMed is seeking a Sr. Configuration Analyst to join the Business Configuration Solutions team. This role is approximately 60% hands-on configuration and 40% cross-functional leadership-facilitating and representing...