Health Plan Account Manager

Quest Diagnostics Incorporated; Philadelphia (Philadelphia County); 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 daily service requirements, ensuring client satisfaction, and contributing to the contracting process. Ideal candidates will have a strong background in healthcare sales and account management, with a focus on problem resolution and customer service. This position offers remote options, making it an exciting opportunity for self-motivated individuals looking to make a significant impact in the healthcare sector.

Qualifications

• 5-7 years sales experience in Healthcare or Medical Administration required.
• 3+ years healthcare/payor experience including problem resolution.

Responsibilities

• Manage day-to-day service requirements for each client.
• Retention of business through service excellence and account management.
• Contributes to RFP and contracting processes.

Skills

Problem resolution

Contract compliance

Customer service

Excel

Access

Billing systems

Payor/industry expertise

Team-orientation

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, and require 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 requirement within the designated health plan customer segment and/or region and 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.
• Retention of the business through service excellence and account management.
• Maintains the key operational relationships at the client
• Contributes to the RFP and contracting processes.
• Upsells new product offerings and expansions, such as Anchor Tests, Wellness products or IT applications.
• Develops key organizational links to people and functions who can help resolve client problems.
• Collaborate with HP Account Executive partners to ensurealignment on priority service issues.
• Develops financial analysis 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 WorkExperience:

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

Skills:

• Problem resolution
• Contract compliance
• Customer service
• Excel, Access
• Billing systems
• Payor/industry expertise
• Team-orientation
• Self-motivated and action oriented

Education:

Bachelor's Degree Required

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