Health Plan Account Manager

QUEST DIAGNOSTICS INC; Secaucus (NJ); 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 maintain client relationships within the healthcare sector. This role focuses on managing day-to-day service requirements and ensuring client satisfaction through effective account management. The ideal candidate will possess a strong sales background in healthcare and demonstrate proficiency in problem resolution and customer service. With remote options available, this position offers a unique opportunity to contribute to a vital segment of healthcare services while collaborating with key stakeholders to enhance service delivery and operational success.

Qualifications

• 5-7 years of sales experience in healthcare or health plan 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 account management.
• Develop financial analyses of denial recovery and contract performance.

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 decisions are often serious, with far-reaching consequences, requiring sensitivity, tact, and a clear dedication to service. Our goal is to provide clarity and hope.

Position 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 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.

Responsibilities

1. Manage the day-to-day service requirements for each client.
2. Retain 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 key organizational links to resolve client issues.
7. Collaborate with HP Account Executive partners to ensure alignment on priority service issues.
8. Develop financial analyses 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 and value diversity. All employment is decided based on qualifications, merit, and business need. We prohibit discrimination based on race, color, religion, gender, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.