Health Plan Account Manager

Quest Diagnostics Incorporated; Kansas City (MO); Remote; USD 60,000 - 100,000; Full time

Job summary

Join a forward-thinking company as a Health Plan Account Manager, where your expertise in healthcare sales will be pivotal in retaining and growing client accounts. This role emphasizes service excellence and effective account management, offering you the chance to collaborate with various teams and contribute to innovative health solutions. You will manage key relationships, tackle complex client issues, and drive new product offerings in a dynamic environment. If you are passionate about making a difference in healthcare and possess a strong sales background, this opportunity is tailored for you.

Qualifications

• 5-7 years of sales experience in Healthcare or Medical.
• At least 3 years of healthcare/payor experience.

Responsibilities

• Manage day-to-day service requirements for each client.
• Upsell new product offerings and expansions.
• Perform financial analysis related to denial recovery.

Skills

Problem resolution

Contract compliance

Customer service

Proficiency in Excel

Proficiency in Access

Experience with billing systems

Payor/industry expertise

Team-oriented

Self-motivated

Action-oriented

Education

Bachelor's Degree

Tools

Excel

Access

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.

Role Overview

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 managing health plans is preferred.

This is a national account-focused sales role with remote options available for candidates located in Quest Business Centers.

Key Responsibilities

1. Manage the day-to-day service requirements for each client.
2. Retain business through service excellence and effective account management.
3. Maintain key operational relationships at the client site.
4. Contribute to RFP and contracting processes.
5. Upsell new product offerings and expansions, such as Anchor Tests, Wellness products, or IT applications.
6. Develop organizational links to resolve client issues effectively.
7. Collaborate with HP Account Executive partners to align on priority service issues.
8. Perform financial analysis related to denial recovery, contract performance, and billing opportunities.
9. Coordinate medical engagement and policy reviews.
10. Coordinate with IT on eligibility and data sharing agreements.
11. Work with Commercial teams and marketing on In-Network campaigns supporting health plans.

Required Work Experience

• 5-7 years of sales experience in Healthcare, Medical, or Health Plan Administration and/or Billing Analysis.
• At least 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 and self-motivated
• Action-oriented

Education

Bachelor's Degree required.

Equal Opportunity Statement

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