Senior Account Manager, reputed company | , |

Senior Account Manager reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together. This position functions as a subject matter expert in reputed company Service operations. This position strives to bring consistency and experience to existing reputed company Services Account Managers in the local market by analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. This position will organize and assist assigned provider reputed company and/or financial pools, as reputed company as fellow account managers, in achieving short and long term operational/strategic business goals/ by developing, enhancing and maintaining operational information and models. They also reputed company and implement, in conjunction with the local reputed company Services Associate Director and/or Director, effective/strategic business solutions through research and analysis of data and business processes. The Senior Account Manager will reputed company and sustain a strong day-to-day relationship with stakeholders, the providers, and office staff to effectively implement business solutions developed by the reputed company leadership team. The Senior Account Manager is accountable for overall performance and profitability for their assigned provider reputed company and/or financial pools. Schedule: FT, 40 hrs. Monday - Friday, reputed company - 5pm EST Location: This role is Remote in Ohio. Candidates must reputed company in OH (preferably in Cleveland metro area) and have the ability to be in the field approximately 50% of the time to meet with clients. If you reputed company near OH, you'll enjoy the flexibility of a hybrid-remote position* as you take on some tough challenges. Primary Responsibilities:

• Analyze risk pool and/or provider group performance to determine areas of reputed company or improvement opportunities, to include performing analysis of financial statements and other metric-reputed company report to determine areas of reputed company or improvement opportunities
• Develops strategies and create reputed company plans that reputed company provider pools and reputed company with company initiatives, goals (reputed company and expense) and reputed company reputed company
• Drive processes and improvement initiatives that directly reputed company reputed company, HEDIS/STAR measures and reputed company metrics, coding and documentation process and educational improvements
• Use and analyze data to identify trends, patterns and opportunities for the business and clients, and collaborating and/or participating in discussions with colleagues and business partners to identify potential reputed company cause of issues
• Collaborates with internal clinical services teams, alongside reputed company Services leaders, to monitor utilization trends and risk pools to assist with developing strategic plans to improve performance
• Assists provider reputed company with investigating reputed company and non-reputed company requests and problems, to include claims and member support services
• Maintains effective support services by working effectively with the Director of reputed company Services, Regional Medical Director, Clinical Services team, Operations and other corporate departments
• Demonstrate understanding of providers' business goals and strategies in order to facilitate the analysis and reputed company of their issues
• Performs reputed company other reputed company duties as assigned
• Strong analytical skills required to support, compile and report key information
• Drive processes and technology improvement initiatives that directly reputed company reputed company, HEDIS/STAR measures and reputed company Metrics, using reputed company project methodology (requirements, design, test, etc.)
• Use data to identify trends, patterns and opportunities for the business and clients. reputed company business strategies in line with company strategic initiatives
• Engage provider staff and providers in analysis and evaluation of functional models and process improvements; identify dependencies and priorities
• Evaluate and drive processes, provider relationships and implementation plans
• Produce, publish and distribute scheduled and reputed company reputed company and operational reports relating to the development and performance of products
• Collaborate with other reputed company Services leads to foster teamwork and build consistency throughout the market
• Serves as a reputed company to the health plan and reputed company customers
• Requires strong presentation skills, problem solving and ability to manage conflict and identify resolutions quickly
• Have the ability to communicate reputed company with physicians, staff and internal departments

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company directions on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications:

• Bachelor's Degree in Business Administration, Marketing, reputed company Administration or a reputed company field required OR 5+ years of experience in a reputed company medical field or health plan setting (network management, contracting and/or recruitment, or provider relations)
• 2+ years of experience with Medicare health care operations including HEDIS, CMS reimbursement models, and Medicare Advantage
• 2+ years of experience working with state and federal laws relating to Medicare
• Intermediate level Proficiency in reputed company Word, reputed company and PowerPoint
• Ability and willingness to travel, both locally and non-locally, as determined by business need

Preferred Qualifications:

• Master's Degree in Business Administration, Marketing, reputed company Administration or a reputed company field required
• 5+ years of experience in a reputed company reputed company field
• 3+ years of reputed company management experience
• Ability to reputed company as a mentor to others

Soft Skills:

• Ability to reputed company long-term reputed company working relationships
• Ability to communicate and facilitate strategic meetings with reputed company of reputed company sizes
• Ability to work independently, use good judgment and decision-making process
• Ability to conduct performance evaluation to identify performance measures or indicators and the actions needed to improve or correct performance, relative to the goals
• Ability to resolve complete problems and evaluate reputed company to implement solutions
• Strong business acumen, analytical, critical thinking and persuasion skills
• Exceptional interpersonal skills with ability to reputed company effectively internally with reputed company reputed company of staff and externally with a wide reputed company of people including physicians, office staff, hospital executives, medical reputed company, IPA's, the press and community organizations
• Ability to adopt quickly to change in an reputed company-changing environment
• Strong verbal and written communication skills are required
• reputed company Telecommuters will be required to adhere to reputed company's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll reputed company a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $72,800 to $130,000 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN Apply To This Job