Medical Account Executive

🏥 Medical Account Executive | Los Angeles, CA 🤝

Join our team and support a high-profile client program by leveraging your Medical Case Management or Workers' Compensation expertise while building strong partnerships and driving successful outcomes. 🚀

✨ What You'll Do:
✅ Manage key client relationships and stakeholder engagement
✅ Serve as a trusted liaison between clients and internal teams
✅ Support program goals and deliver exceptional client service
✅ Conduct monthly on-site visits at the client's Los Angeles headquarters 📍

🌟 Requirements:
✔ Must have a minimum of 6 years of Medical Case Management or Workers' Compensation experience
✔ Strong client-facing, communication, and relationship-building skills

💼 Ready to make an impact? We'd love to connect with you! 🙌

• Serve as the primary client relationship manager for medical management programs within a TPA environment.
• Coordinate implementation, service delivery, and ongoing account management for medical management solutions, including case management, utilization review, and related clinical services.
• Partner with clients, claims teams, clinical staff, and operational leaders to ensure program performance and customer satisfaction.
• Monitor service metrics, trends, and outcomes, providing regular reporting and strategic recommendations.
• Identify opportunities to improve medical cost containment, return-to-work outcomes, and overall program effectiveness.
• Support renewals, retention efforts, and growth initiatives within assigned accounts.
• Resolve client issues and escalate concerns as needed to ensure timely resolution.
• Maintain a strong understanding of workers’ compensation, managed care, and medical management industry practices.
• This role differs from a traditional Account Executive position by requiring deeper expertise in medical management programs, clinical service coordination, and healthcare cost-containment strategies.

• Bachelor's degree or an equivalent combination of education and experience. A medical degree is not required; however, a strong understanding of medical terminology, treatment progression, and claim lifecycles is essential.
• Six (6) or more years of experience in medical case management, healthcare account management, workers' compensation, disability management, or related healthcare and claims environments.
• Proven ability to manage and grow client accounts, coordinate medical service delivery, interpret and discuss medical information, and ensure positive customer outcomes.
• Ability to drive service agreements to signature.
• Understanding of industry pricing methodologies and monthly invoicing oversight.
• Understanding of Crawford role in service delivery.
• Report building and analytics via our iQ Portal.
• "Can do/winning" attitude, not easily discouraged by internal or external forces.
• Understands concepts of claim and medical processing - intake to closure.
• Strong medical claim product and service knowledge.
• Must complete continuing education requirements as outlined by Crawford Educational Services.

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