Client Services Account Manager, Payer Healthcare Services
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Job Description
Client Services Account Manager managing health-plan relationships for Medicare and Medicaid services. Translating performance data into delivery improvements, business reviews, and care-gap outcomes.
Responsibilities:
- Manage day-to-day health plan relationships, program commitments and client communications
- Coordinate onboarding and ongoing delivery with clinical, outreach, scheduling, operations and data teams
- Monitor service levels, volumes, quality and deadlines
- Resolve issues before they become client escalations
- Lead business reviews with performance insights, action plans and accountable follow-through
- Keep client expectations, internal priorities and contractual deliverables aligned
- Connect payer priorities with operational delivery
- Turn performance data and client feedback into action
Requirements:
- Relevant healthcare account management, client services or program operations experience, ideally five or more years
- Direct experience supporting Medicare or Medicaid programs
- Practical knowledge of risk adjustment, HEDIS/quality improvement, care-gap closure or related value-based care programs
- Strong follow-through across multiple workstreams
- Confidence translating reports into client-facing recommendations
- Clear communication
- Sound judgment with sensitive health information
- Proficiency with Excel or comparable reporting tools
- Experience with in-home, mobile or virtual assessment programs is a plus
Benefits:
- Travel up to 10%
- Clear account ownership and meaningful influence on how healthcare programs perform and reach members
- Response to applications within 24 hours
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