SUMMARY

MBA or equivalent education and experience required

 

 

 

 

The Account Manager, Payer Solutions will serve as a key member of the Client Delivery Services and play a significant role in providing consulting and implementation services to MedeFinance, Inc.'s ("Mede" or the "Company) clients. This role serves as the single point-of-contact for a specific account (or set of accounts) and is responsible for the successful execution of all client services, including implementation, training, enhancements, and ongoing support. The Account Manager is also responsible for developing and maintaining senior-level relationships within assigned accounts, improving client utilization and adoption rates of services, and identifying, pursuing, and closing additional revenue opportunities. The candidate must be an experienced professional with a diverse skill set, and must process the ability to think strategically while executing tactically.

 

 

Essential Duties and Responsibilities:

· Lead client(s) through planning, decision making and change management.

· Effectively facilitate meetings so that objectives are met.

· Communicate with client(s) to identify business needs and understand client(s) requirements and needs even if the client(s) can't articulate them.

· Apply knowledge of industry and trends to improve service to the client(s) including suggesting alternative solutions to meet client requirements more effectively.

· Lead client(s) through phases of project management and communicate status of project to stakeholders.

· Create and execute project work plans and revise as appropriate to meet changing needs and requirements including identifying project resources, timelines and scope.

· Manage day-to-day project activities and client interactions and expectations.

 

 

 

Essential Education, Experience and Interests:

 

A minimum of an under graduate degree is required.

The Company is seeking an individual who has successfully led project delivery within a high-growth, consulting business practice and thereby acquired the appropriate set of business development and project management experiences and skills to lead these initiatives at Mede. The successful candidate will have at least 7 years of progressively responsible account management experience within a high-growth, high-end professional services solution organization. This individual will have worked for healthcare-focused management/strategy firms in his or her career and have demonstrated leadership capabilities. Understanding of claims processing, membership and authorization systems for large payer organizations is required. Understanding of functional design requirements including the ability to document field mapping, software changes and client requirements and document those requirements for engineering and client is also required.

Critical subject matter expertise is necessary and includes a detailed understanding and experience with the diverse business needs and drivers of the Payer market segment including:

· Medical Loss Ratio (MLR) improvement through:

· Provider contract performance

· Medical management

· Actuarial metrics

· Executive dashboards

· P4P initiative/program enablement

· Strong appreciation of the value of data aggregation and analytics on Payers' disparate data silos

An ideal candidate will also possess a view of the key drivers/metrics in the Software-as-a-Service ("SaaS") industry and an understanding of analytics business models.

 

Personal Characteristics:

· Ability to establish a strong communication link and credibility with clients' management teams through the highest level of professionalism, integrity, mutual respect, and value added mentality

· Bright, quick, articulate, excellent presentation and interpersonal skills, and able to adapt to different outside constituencies

· Viewed as a team player that also possesses the independence of thought and opinion to provide candor and honesty when making key business decisions

· Passionate about business results, with a strong sense of accountability, metrics and ownership

· Strong organization and prioritization skills

· Strategic thinker balanced with a grasp of the details

The above is intended to describe the general content of and qualifications for the job. It is not an exhaustive statement of all the functions, duties, or qualifications.

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