PHA Account Manager

September 27

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Advantmed

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Consulting, Analytics, Gap Closure, CMS Star Ratings • Medicare Commercial Medicaid Risk Adjustment Coding Abstraction HHS HIX • Record Retrieval, Provider Education, Member Outreach • Clinical & Quality Outcomes, QRS, NCQA HEDIS

1001 - 5000

💰 Venture Round on 2016-12

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