Senior Account Manager, Client Services

Improve the lives of others while Caring. Connecting. Growing together. Senior Account Manager, Client Services (2359637) Optum is a global organization that delivers care through technology to help millions of people live healthier lives. The work you do with our team directly improves health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need. Schedule: Full Time, 40 hrs. Monday – Friday, 8am – 5pm EST Location: Remote in Ohio. Candidates must reside in OH (preferably in Cleveland metro area) and have the ability to be in the field approximately 50% of the time. Primary Responsibilities Analyze risk pool and/or provider group performance to identify areas of focus or improvement opportunities, including financial statement analysis and other metric-related reports. Develop strategies and action plans that align provider pools and groups with company initiatives, revenue/expense goals, and quality outcomes. Drive processes and improvement initiatives that impact revenue, HEDIS/STAR measures, quality metrics, coding, documentation, and educational improvements. Use and analyze data to identify trends, patterns, and opportunities for the business and clients, collaborating with colleagues and business partners to determine root causes. Collaborate with internal clinical services teams and Client Services leaders to monitor utilization trends and risk pools, assisting in developing strategic plans. Assist provider groups with investigating standard and non-standard requests and problems, including claims and member support services. Maintain effective support services by working with the Director of Client Services, Regional Medical Director, Clinical Services team, Operations, and other corporate departments. Demonstrate understanding of providers’ business goals and strategies to facilitate issue analysis and resolution. Perform all related duties as assigned. Provide strong analytical support, compile and report key information. Implement process and technology improvement initiatives that directly impact revenue, HEDIS/STAR measures, and quality metrics, using standard project methodology. Engage provider staff and providers in analysis and evaluation of functional models and process improvements, identifying dependencies and priorities. Produce, publish, and distribute scheduled and ad-hoc client and operational reports related to product development and performance. Collaborate with other Client Services leads to foster teamwork and build consistency throughout the market. Serve as a liaison to the health plan and all customers. Possess strong presentation skills, problem solving, and ability to manage conflict and identify resolutions quickly. Communicate well with physicians, staff, and internal departments. Benefits Paid Time Off and 8 Paid Holidays Medical Plan options, Health Spending Account, Health Saving Account Dental, Vision, Life & AD&D Insurance, Short-term and Long-term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) Salary Annual range: $72,800 to $130,000, based on full‑time employment and local market conditions. Required Qualifications Bachelor’s Degree in Business Administration, Marketing, Healthcare Administration, or related field OR 5+ years of experience in a medical field or health plan setting (network management, contracting, or provider relations). 2+ years of experience with Medicare health care operations, including HEDIS, CMS reimbursement models, and Medicare Advantage. 2+ years of experience working with state and federal laws related to Medicare. Intermediate proficiency in Microsoft Word, Excel, and PowerPoint. Willingness to travel locally and non‑locally as determined by business needs. Preferred Qualifications Master’s Degree in Business Administration, Marketing, Healthcare Administration, or related field. 5+ years of experience in a healthcare related field. 3+ years of healthcare management experience. Ability to act as a mentor to others. Soft Skills Develop long‑term positive working relationships. Communicate and facilitate strategic meetings with groups of all sizes. Work independently, using sound judgment and decision‑making processes. Conduct performance evaluations to identify measures, indicators, and necessary actions. Resolve complete problems and evaluate options to implement solutions. Strong business acumen, analytical, critical thinking, and persuasion skills. Exceptional interpersonal skills to interface effectively with all levels of staff and external partners. Adapt quickly to change in an ever‑changing environment. Strong verbal and written communication skills. Telecommuter Policy All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. EEO and Compliance Statements At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone—of every race, gender, sexuality, age, location, and income—deserves the opportunity to live their healthiest life. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug‐free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr Optum