SUMMARY
Responsible for independently managing client relationships and delivering strategic consulting services related to value-based contracting with healthcare providers. Leads the day-to-day service and strategic relationship management of assigned health plan and provider accounts, coordinating resources to deliver measurable client value accross the policy term
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Responsible for the day-to-day management of assigned health plan and provider accounts in a client-facing capacity.
- Contributes to relationship development and long-term account growth between Alliant and each client.
- Helps develop a three-year reinsurance strategy for each client, informed by loss ratios, benchmarking, loss development, and targeted premium and rate goals.
- Coordinates the implementation of Alliant resources, including Risk IQ, Actuarial, Clinical, Claims, and Service teams.
- Coordinates installation meetings with the carrier, client, and Alliant service team to establish a smooth support model for each new policy term.
- Develops an annual service calendar for each client, including quarterly client touchpoints.
- Oversees premium and enrollment tracking with staff support.
- Maintains client tracking for key account components, including updated DOFRs, policy changes, and client staff and leadership changes.
- Partners with the Claims team to ensure client needs are addressed promptly and effectively.
- Coordinates with claims team to ensure policy is meeting claims adjudication outcomes.
- Manages all policy reporting and final submission requirements.
- Oversees client data requests/needs throughout the policy term.
- Owns assigned carrier renewals and new-business marketing within the health markets.
- Processes BOR requests for both renewals and new business.
- Shares responsibility with the market leader for all pre-renewal meetings.
- Leads proposal generation to include service summaries, claims recoveries, key other relevant KPIs.
- Communicates renewal timelines, milestones, and expectations to clients.
- Participates in managed-care conferences and industry events.
- Travels as needed for face-to-face client meetings.
- Supports new business meetings as needed both virtually and in person.
QUALIFICATIONS
EDUCATION/EXPERIENCE
- Bachelor's Degree or equivalent combination of education and experience
- Ten (10) or more years of experience in Managed Care Reinsurance
- Valid Insurance License
SKILLS
- Demonstrated ability to exercise discretion and independent judgement in solving complex business problems.
- Excellent analytical, financial, and strategic thinking skills.
- Proven ability to influence stakeholders and drive decision-making.
- Advanced in Microsoft Office Suite.
- Excellent time management skills.
- Excellent verbal and written communication skills.
- Ability to prioritize work for multiple tasks and deadlines.
- Strong organizational skills and attention to detail.