Senior Account Manager, Client Services

About the role

This position functions as a subject matter expert in Client Service operations. This position strives to bring consistency and experience to existing Client Services Account Managers in the local market by analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning.

Responsibilities

• Analyze risk pool and/or provider group performance to determine areas of focus or improvement opportunities, to include performing analysis of financial statements and other metric-related reports to determine areas of focus or improvement opportunities
• Develop strategies and create action plans that align provider pools and groups with company initiatives, goals (revenue and expense) and quality outcomes
• Drive processes and improvement initiatives that directly impact revenue, HEDIS/STAR measures and quality metrics, coding and documentation process and educational improvements
• Use and analyze data to identify trends, patterns and opportunities for the business and clients, and collaborate and/or participate in discussions with colleagues and business partners to identify potential root causes of issues
• Collaborate with internal clinical services teams, alongside Client Services leaders, to monitor utilization trends and risk pools to assist with developing strategic plans to improve performance
• Affords assistance to provider groups with investigating standard and non-standard requests and problems, to include claims and member support services
• Maintain effective support services by working effectively with the Director of Client Services, Regional Medical Director, Clinical Services team, Operations and other corporate departments
• Demonstrate understanding of providers' business goals and strategies to facilitate the analysis and resolution of their issues
• Performs all other related duties as assigned

Requirements

• Strong analytical skills required to support, compile and report key information
• Drive processes and technology improvement initiatives that directly impact Revenue, HEDIS/STAR measures and Quality Metrics, using standard project methodology (requirements, design, test, etc.)
• Use data to identify trends, patterns and opportunities for business and clients. Develop 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 ad-hoc client and operational reports relating to the development and performance of products
• Collaborate with other Client Services leads to foster teamwork and build consistency throughout the market
• Serves as a liaison to the health plan and all customers
• Requires strong presentation skills, problem solving and ability to manage conflict and identify resolutions quickly
• Ability to communicate well with physicians, staff and internal departments

Qualifications

• Bachelor's Degree in Business Administration, Marketing, Healthcare Administration or a related field required OR 5+ years of experience in a related 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 of proficiency with Microsoft Word, Excel and PowerPoint
• Willing and able to travel, both locally and non-locally, as determined by business need

Skills

• Strong analytical skills
• Drive processes and technology improvement initiatives
• Use data to identify trends, patterns and opportunities
• Engage provider staff and providers
• Communicate well with physicians, staff and internal departments

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

Pay

The salary for this role will range from $72,800 to $130,000 annually based on full-time employment.

Schedule

FT, 40 hrs. Monday - Friday, 8am - 5pm EST

Location

This role is Remote in Ohio. Candidates must reside 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.

UnitedHealth Group

We are committed to helping people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Equal Employment Opportunity

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

Drug-Free Workplace

Candidates are required to pass a drug test before beginning employment.

Company Culture

We’re honored to be recognized for our exceptional work culture