Customer Success Manager - Healthcare Risk Adjustment

Customer Success Manager - Healthcare Risk Adjustment

Reveleer delivers a unified platform spanning risk adjustment, quality improvement, clinical intelligence, and member management for health plans and provider organizations navigating the complexity of value-based care. Trusted by 80+ customer organizations nationwide, the platform integrates data, analytics, and intelligent workflow automation into one governed system designed to support traceable documentation across diagnoses, quality measures, and submissions. With regulatory expertise and transparent, human-in-the-loop AI at its core, Reveleer supports organizations working to advance care quality, strengthen documentation integrity, and sustain the operational readiness needed to navigate audits with confidence.

As a Customer Success Manager, Healthcare Risk Adjustment, you will play a key role in driving customer goals, business transformation, and revenue expansion by ensuring the engagement, success, and growth of Reveleer's customers across your assigned book of business. The Customer Success Manager will ensure Reveleer customers successfully adopt the platform with a positive experience, driving growth for Reveleer through renewals and expansion.

Essential Functions:

• The Customer Success Manager, Risk Adjustment will work to build long-term, strategic, executive-level partnerships with high-revenue, high level of complexity customers specifically within the ACA HHS CMS RADV Initial Validation Audit.
• You will work across your assigned book of business to understand your customer's value drivers, business goals, workflows, organizational structures, and requirements.
• As the primary point of contact, you will work to ensure the customer's successful adoption of the Reveleer platform technology while simultaneously ensuring successful project outcomes through cross-functional collaboration with Operations, Product, Analytics and Engineering teams.
• Engage with customers daily - through scheduled meetings, emails, ad-hoc calls as requested.
• Proactive daily knowledge of customer's reporting and alignment to service level agreements and ability to share gap closing plans.
• Indepth knowledge of CMS Regulatory requirements for solutions provided by Reveleer.
• You will work closely with senior leadership to identify, track and drive resolution for critical project issues, ensuring escalations are clearly defined, prioritized, and managed closely to produce results that align with the customer's business needs.
• Develop a deep understanding of Reveleer's platform and service offerings to offer consultative support, share best practices, drive expansion, and promote retention.
• Utilize Gainsight to create success plans, monitor customer health and document progress towards defined program goals and milestones.
• Participates in departmental and organizational meetings regularly to communicate major milestones, conduct business reviews, create executive summaries and other communication methods as required to present across internal audiences including senior leadership and C-Suite.

Competencies:

• Caring – Warm, sincere, calm, cool and collected energy and presence with the ability to develop relationships.
• Results Driven – Focus on achievement, motivated by results and outcomes, goal oriented.
• Analytical – Can look at data and determine any changes in trending or key performance indicators that could identify risk.
• Effectively Communicates – Speaks clearly, listens effectively, and responds well to questions; Writes clearly and informatively; Edits work for errors; Varies writing style to meet needs; Able to read and interpret information; Documents are accurate and delivered on time; Uses good judgement when communicating information.
• Problem Solver - Expertise managing client relationships and accounts for technically complex products and platforms with the ability to lead a resolution towards mutual success.
• Continuous Quality Improvement – Evaluates polices, programs, and services; Implements strategies for continuous quality improvement; Assesses the use of evaluation findings for improving policies, programs, and services; Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
• Customer Focus - Follows through; Courteous; Helps internal and external customers; Understands customer perspectives and needs; Assesses the effects of decisions on different customers and services; Develops and maintains partnerships that will increase customer satisfaction and decrease risk
• Interpersonal Skills - Builds strong relationships; Flexible and open minded; Receptive to feedback; Motivates employees and peers for the purpose of achieving organizational goals.
• Professionalism – Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Adaptability – Adapts to changes in the work environment; Adjusts methods to best fit the situation; Able to deal with change, delays, or unexpected events. Can work with diverse groups of customers and internal stakeholders.
• Cultural Sensitivity – Models behaviors that reflect the culture of Reveleer; Awareness of the similarities and differences that exist between employees, teams, departments and customers to build more effective relationships.

Required Education and Experience:

• Bachelor's Degree preferred or equivalent work experience required.
• 5+ years' experience working within a Health Plan and/or experience in a customer-facing vendor management role, managing Risk Adjustment/specific to RADV lines of business, or other relevant healthcare experience.
• Minimum two years' experience working in account management within HHS RADV Initial Validation Audit.
• Significant experience in presenting detailed reports, gap closing plans and project plan dependencies to Sr Level Customer contacts.
• Strong Project Management skills with demonstrated ability to manage and track multiple customer requests, issues and project plans.
• Self-motivated, team player with exceptional organizational, presentation and communication skills, both written and verbal.
• Track record of performing in agile, Saas based environments with high levels of professionalism and interpersonal savvy in high-stress situations.
• Proficiency with MS Office, advanced proficiency in Excel.

What You'll Receive:

• Competitive salary
• Medical, Dental and Vision benefits
• 401k match
• Generous PTO plan
• Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.
• Reveleer E-Verifies all new hires.
• Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.