Account Manager

Health Network One Inc

Miami, FL

Essential Functions & Responsibilities

Client Relationship Management

Serve as the primary day to day strategic lead for assigned healthcare payor accounts, supporting client strategy, satisfaction, retention, and growth.
Responsible for maintenance of comprehensive account strategy plans aligned to client business goals, market dynamics, and organizational objectives.
Proactively manage client escalations, risks, and sensitive business issues with urgency and professional communication. Support in the planning and preparation of annual business reviews, strategic planning sessions, and other client-facing meetings.
Escalate client concerns or risks to the VP, Account Management as appropriate.

Account Execution & Support

Assist in executing account management strategies and initiatives defined by leadership.
Coordinate internal resources to ensure timely delivery of services and solutions to clients.
Track key deliverables, timelines, and action items across assigned accounts.
Support implementation of health plan strategies in collaboration with internal teams.

Health Plan & Industry Support

Maintain working knowledge of health plan operations, regulatory requirements, and industry best practices.
Support compliance with client requirements and industry standards.
Assist in gathering and analyzing data to support client reporting and strategy execution.

Performance Monitoring & Reporting

Track and report on key performance indicators (KPIs) for assigned accounts.
Prepare client reports, presentations, and performance summaries.
Identify trends, risks, and opportunities, and communicate insights to leadership.

Cross-Functional Collaboration

Partner with internal stakeholders including operations, clinical, product, and finance teams to support client deliverables.
Ensure alignment across teams to meet client expectations and service standards.

Retention & Growth Support

Support renewal and rate update processes by gathering required data and preparing materials.
Identify opportunities for account expansion or additional services and communicate to leadership.
Assist in maintaining high client retention and satisfaction.

Contract Management & Renewals

Support the VP, AM to oversee client contract lifecycle activities, including renewals, amendments, participate in pricing discussions, and strategic negotiations.
Partner with internal legal, finance, underwriting, operations, and executive leadership teams to support contract strategy and execution.
Work with VP, AM to ensure contract terms align with business objectives, profitability expectations, and operational capabilities.

Required Education and Experience

Bachelor's degree in Business, Healthcare Administration, or a related field.
5-7 years of experience in account management, client services, or healthcare operations. Experience in a strategic account management role (not solely operational account coordination).
Experience working with Medicare Advantage, Medicaid, AHCA, and/or Commercial health plan populations.
Knowledge of CMS regulations, managed care, and government-sponsored healthcare programs.
Health plan (payor) experience strongly preferred.
Experience working with health plans, provider networks, or healthcare services strongly preferred.

Skills and Competencies

Strong interpersonal and communication skills with the ability to manage client relationships effectively.
Highly organized with strong attention to detail and ability to manage multiple priorities.
Analytical mindset with ability to interpret data and support decision-making.
Proficiency in Microsoft Office (Excel, PowerPoint, Word) and CRM tools.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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Vacancy posted 1 day ago

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