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PHA Account Manager

Remote: 
Full Remote
Contract: 
Full time
Experience: 
Mid-level (2-5 years)
Work from: 
United States

Offer summary

Qualifications:

Minimum 2-3 years in account management, Strong understanding of healthcare sector and regulations, Proficiency in Microsoft Office Suite and CRM software, Experience with contract negotiation and management, Ability to analyze data and prepare reports.

Key responsabilities:

  • Participate in client implementation calls and presentations
  • Support complaint handling and service inquiries
  • Coordinate with operations on critical client deliverables
  • Review project health and provide input on reporting
  • Assist in preparing client facing materials and decks
Advantmed logo
Advantmed Large https://www.advantmed.com/
1001 - 5000 Employees
About Advantmed
Advantmed is a privately held company founded in 2005. The organization initially focused on record retrieval but has evolved into an innovative healthcare information management company that helps health plans and Managed Care Organizations optimize revenue and improve quality outcomes. Our mission is to improve the healthcare system by ensuring appropriate, quality care and eliminating unnecessary costs. We accomplish this by providing a cost-effective suite of capabilities tailored to the unique needs of our clients, including NCQA-certified HEDIS® measure software, risk analytics, medical record retrieval, medical record abstraction, risk adjustment coding, data validation, prospective assessments, and provider education. Our strategy reflects our flexibility and commitment to meeting our clients' evolving needs. We work closely with our clients to understand their concerns, requirements, strategic objectives, and infrastructure so that we can support them accordingly. Our foundational principles are accuracy, efficiency, and transparency. Our solutions are designed to be user-friendly and flexible. We see ourselves as an extension of our clients’ internal teams, which allows us to work to advance our solutions and provide support for their growing business needs. Understanding how our clients use our products and services fuels our product development road map, especially in terms of technology as we continually work to improve our client portal. In addition, we regularly monitor statutory and regulatory changes from CMS, HHS, NCQA, and others. The Advantmed leadership team is composed of seasoned healthcare veterans, with extensive quality and risk adjustment expertise. The leadership team oversees a global staff of over 1,800 employees. Notably, we are HITRUST certified, and all data resides within the United States.
See more Advantmed offers

Job description

  • Participate all implementation client calls
  • Support in presenting relevant slides from the Implementation PPT to the clients and answer questions
  • Support Implementation Team on action items
  • Reviewing Member Engagement Material, reporting requirements etc and provide inputs
  • Support any process change discussions as needed
  • Ensuring Ops is informed on Project Scope, Client's asks and addressing open questions
  • Attend weekly client calls
  • Share Production Plans. If there are any changes, explain reason for changes
  • Address client service questions and escalations
  • Support the complaint handling process, including close looping with the clients
  • Review Project Health and liaise with Operations if Amber/Red for POA. 
  • POA formulation will be Ops/Planning Team responsibility but presenting to the client is PAM
  • Coordinate with Operations and support items critical for Client SLA
  • Liaise with respective teams on managing client deliverables
  • Monitor tasks for close looping with client/Front Office in a timely fashion
  • Support the current Process Change Request process by facilitating discussions with Ops and then supporting solutioning once approved. This includes follow up with Ops and communication with PM/CE Teams
  • Support discussion related to client portal, queries, changes requested and solutions
  • Participate in discussions related to additional volume. Liaise with internal teams as needed
  • Present PHA Guidelines on client call and answer related questions
  • Review all client facing adhoc reports prepared by planning team to ensure it aligns with client needs.
  • Assist client success/sales/marketing in preparing client facing decks. 
  • Participate in calls/Face to face meetings and answer pertinent questions
  • Support discussions related to client invoicing and solution
  • Drive PHA_AM and any cross functional OKR that involve CE/PM and Operations

Requirements

  • Minimum of 2-3 years of experience in account management, in the healthcare industry.
  • Strong understanding of the healthcare sector and its regulations.
  • Excellent communication and interpersonal skills.
  • Proven ability to manage and grow client relationships.
  • Strong problem-solving and negotiation skills.
  • Ability to work independently and as part of a team.
  • Proficiency in Microsoft Office Suite and CRM software.
  • Strong organizational and time management skills.
  • Ability to travel as needed.
  • Experience with contract negotiation and management.
  • Ability to analyze data and prepare reports.
  • Strong attention to detail.
  • Ability to handle multiple tasks and prioritize effectively.
  • Proactive and results-driven mindset.
  • Ability to adapt to changing industry trends and client needs.
  • Strong presentation skills.
  • Ability to work under pressure and meet deadlines.
  • Commitment to providing exceptional customer service.
  • Knowledge of healthcare marketing and sales strategies

Benefits

  • Medical - Dental - Vision
  • 401k
  • PTO
  • Paid parental leave

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Negotiation StrategiesAccount ManagementData AnalysisHealthcare Industry KnowledgeSales StrategyContract NegotiationCustomer Relationship Management (CRM) SoftwarePresentation TrainingHealthcare Marketing

Other Skills

  • Report Writing
  • Social Skills
  • Success Driven
  • Open Mindset
  • Teamwork
  • Customer Service
  • Detail Oriented
  • Microsoft Office
  • Verbal Communication Skills
  • Problem Solving
  • Time Management
  • Organizational Skills
  • Prioritization
  • Adaptability
Are you interested?

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