Health Plan Account Manager

Quest Diagnostics Incorporated; Chicago (IL); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Health Plan Account Manager to enhance client relationships and drive business growth. This role involves managing day-to-day service requirements, ensuring client satisfaction, and contributing to RFP processes. The ideal candidate will have a strong background in healthcare sales and account management, with a focus on problem resolution and customer service excellence. Join a dynamic team where your contributions will make a significant impact on healthcare decisions and client success. With remote options available, this is a fantastic opportunity to thrive in a supportive environment.

Qualifications

• 5-7 years of sales experience in Healthcare or Medical Administration.
• 3+ years of healthcare/payor experience including service management.

Responsibilities

• Manage day-to-day service requirements for each client.
• Retain business through service excellence and effective account management.
• Collaborate with Account Executive partners on priority service issues.

Skills

Problem resolution

Contract compliance

Customer service

Proficiency in Excel

Proficiency in Access

Experience with billing systems

Payor/industry expertise

Team-oriented mindset

Self-motivated and action-oriented

Education

Bachelor's Degree

Job description

We Provide Solutions. Patients and Physicians rely on our diagnostic testing, information, and services to help them make better healthcare decisions. These are often serious decisions with far-reaching consequences, requiring sensitivity, tact, and a clear dedication to service. It's about providing clarity and hope.

The Health Plan Account Manager will retain and grow a book of business by managing day-to-day service requirements within the designated health plan customer segment and/or region, including management of a national health plan. A sales and account management background in medical insurance coverage or experience with managing health plans is preferred.

This is a National Account focused sales role with remote options available for candidates located in Quest Business Centers.

• Manage the day-to-day service requirements for each client.
• Retain the business through service excellence and effective account management.
• Maintain key operational relationships at the client.
• Contribute to the RFP and contracting processes.
• Upsell new product offerings and expansions, such as Anchor Tests, Wellness products, or IT applications.
• Develop key organizational links to people and functions that can help resolve client problems.
• Collaborate with HP Account Executive partners to ensure alignment on priority service issues.
• Develop financial analyses of denial recovery, contract performance, and billing-related opportunities.
• Coordinate medical engagement and policy reviews.
• Coordinate with IT on eligibility and data agreements.
• Coordinate with Commercial reps and marketing, primarily around In-Network direction campaigns supporting health plans.

Required Work Experience:

• 5-7 years of sales experience in Healthcare, Medical, or Health Plan Administration and/or Billing Analysis.
• 3+ years of healthcare/payor experience, including problem resolution, service management, and relationship management.

Skills:

• Problem resolution
• Contract compliance
• Customer service
• Proficiency in Excel and Access
• Experience with billing systems
• Payor/industry expertise
• Team-oriented mindset
• Self-motivated and action-oriented

Education:

Bachelor's Degree required.

Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Veterans or any other legally protected status.