VP, Account Management II, Health Plans
San Francisco, CA, USA | Magellan Health
Industry:Healthcare - Hospitals
Job Description:73 people have viewed this job
Accountable for building long-term and tactical relationships with customers and setting and carrying out Account growth and retention strategy. Partners with and coordinates company resources to achieve business objectives, maintain account satisfaction, and ensure that products and services support customers’ needs while achieving acceptable margins. This role may manage a team regionally or nationally.
Book of Business/Financial Management:
Ensures revenue goals are met, cost of care and administrative expenses managed, and EBIDTA targets achieved.
Positions the assigned book of business strategically to achieve objectives, including growth requirements, retention requirements, customer satisfaction, etc.
Fully versed in all aspects of the contracts with assigned customers as well as ensuring contract performance through risk management activities including such items as assurance of Service Level Agreement Performance, assurance of claims accuracy payment and administrative policies, rate maximization through ongoing benefit analysis and adherence to requirements of the account`s legal and regulatory environment.
Develops and maintains contract compliance tool(s) for periodic assessment of company performance to customer requirements (including performance standards, etc.).
Proposes final pricing and product description for products sold to existing accounts. Manages risks and develops opportunities associated with underwritten rates.
Owns overall account satisfaction for the accounts serviced by the area.
Develops strong relationships with key senior level and operational customers.
Coaches Account Management team in resolving escalated customer service issues.
Develops strong relationships and contacts within the company that are supportive of the achievement of customer service requirements including attainment of performance guarantees and minimization of performance penalty expense.
Creates and maintains strategic partnerships with customers through the development and implementation of annual account retention and growth plans that result in long term retention of profitable relationships
Ensures all Customer and Account Facing services are provided in a consistent and timely fashion.
Resolves escalated customer service issues in conjunction with operations (claims, service, systems).
Works with Account Management team on upsells and renewal activities across all Market accounts. For new business and renewals, negotiates rates and contractual terms with customers that result in improved EBITDA.
Seeks and identifies products and service requirements based on a thorough understanding of each customer`s strategic business goals and the strategic business direction of the product set.
Partners with the Sales department in new sales activities.
Demonstrates depth of knowledge of ALL company products and how multiple products are interdependent within the customer contract deliverables and clinical outcomes.
Maintains focus on ongoing skill development and mentoring skill development within the department.
Manages department resources to ensure they are used efficiently and effectively to achieve department goals.
For positions supporting Government Programs:
Acts as the intermediary between the market (PCMA, CMS, etc), internal Magellan constituents, the Account team and the clients on new regulations and/or requirements impacting clients.
Conducts monthly all client calls to disseminate and share market changes, impacts and Magellan`s response to these changes.
Maintains relationships with contracted consultants for Medicare/Medicaid to include but not limited to sharing the summarized weekly CMS Memos.
Interfaces with Medicare D team for cross client requirements.
Other Job Requirements
15+ years of broad-based Health Care Account Management and Sales experience.
8+ years of direct supervisory experience.
Business and organization knowledge.
Teamwork building skills.
Strong written and verbal communication skills.
Quantifiable business results.
Service oriented (External and Internal).
Flexible and adaptable.
Working knowledge Microsoft Office Product Suite.
Prefer 10 or more years of Medicare experience.
General Job Information
VP, Account Management II, Health Plans - California
Account Management, Management/Leadership, Medicare, Sales
Bachelors (Required), Masters
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