Account Manager

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.