Health Plan Account Manager

Quest Diagnostics Incorporated; Orlando (FL); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Health Plan Account Manager to drive growth and service excellence within the healthcare sector. This role involves managing a portfolio of clients, ensuring operational efficiency, and enhancing relationships with key stakeholders. You will play a pivotal role in upselling new products and resolving client issues, all while collaborating with various teams to align on priorities. If you have a strong background in healthcare sales and a passion for customer service, this opportunity could be your next career move. Join a forward-thinking company dedicated to making a difference in healthcare.

Qualifications

• 5-7 years of sales experience in Healthcare or Medical.
• 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 account management.
• Coordinate with IT on eligibility and data agreements.

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

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.

Position: Health Plan Account Manager

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 background in sales and account management 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.

Key Responsibilities:

1. Manage the day-to-day service requirements for each client.
2. Retain the business through service excellence and account management.
3. Maintain key operational relationships at the client.
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 problems.
7. Collaborate with HP Account Executive partners to align on priority service issues.
8. Perform financial analysis of denial recovery, contract performance, and billing opportunities.
9. Coordinate medical engagement and policy reviews.
10. Coordinate with IT on eligibility and data agreements.
11. Coordinate with Commercial reps 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.
• 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:

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