Remote Director, Health Plan Success

Flourish Health; Richmond (VA); Remote; USD 120,000 - 150,000; Full time

Benefits offered by this job

401(k)

Paid time off

Home office stipend

Health insurance

Vision insurance

Dental insurance

Job summary

Flourish Health is seeking a Director, Health Plan Success to lead and strengthen relationships with Medicaid managed care partners. You will manage the post-sales lifecycle, from late-stage contracting and implementation through ongoing relationship management, performance, and account expansion.

The ideal candidate has deep Medicaid managed care knowledge, strong relationship-building skills, and a passion for improving outcomes for youth with serious mental health needs.

Qualifications

• 7+ years of experience in healthcare, including health plan account management, payer partnerships, client success, or closely related function.
• Experience working directly with Medicaid managed care organizations or other health plan partners.
• Demonstrated success managing complex, high-value relationships with multiple stakeholders.
• Strong understanding of managed care operations, healthcare delivery, and payer-provider partnerships.
• Ability to interpret healthcare performance data, identify trends, and communicate actionable insights.
• Excellent executive communication, relationship management, and presentation skills.
• Strong project management skills, coordinating complex initiatives across multiple teams.
• Demonstrated ability to navigate challenging partner conversations, resolve escalations, and build trust.
• High degree of ownership, initiative, organization, and attention to detail.
• Strong commitment to improving access, quality, and outcomes in behavioral healthcare.

Responsibilities

• Own the overall health plan relationship management for a portfolio of contracts.
• Build and maintain trusted relationships with health plan executives, behavioral health leaders, and operational stakeholders.
• Develop and maintain account success plans with objectives, metrics, stakeholder maps, and actions.
• Monitor partnership metrics including referrals, admissions, patient engagement, outcomes, utilization, and performance.
• Coordinate cross-functional responses to questions, escalations, and concerns; ensure accountability and follow-through.
• Lead implementation and ongoing account management to drive contract performance and retention.

Skills

Relationship management

Medicaid managed care

Executive communication

Project management

Data analysis

Healthcare operations

Stakeholder management

Tools

CRM systems

Healthcare analytics tools

Account management platforms

Job description

Flourish Health is seeking a Director, Health Plan Success to lead and strengthen relationships with Medicaid managed care partners. You will manage the post-sales lifecycle, from late-stage contracting and implementation through ongoing relationship management, performance, and account expansion.

The ideal candidate has deep Medicaid managed care knowledge, strong relationship-building skills, and a passion for improving outcomes for youth with serious mental health needs.