Medicare Account Executive managing key Client relationships and promoting MTM services. Focused on understanding Client needs and enhancing satisfaction while driving growth opportunities.
Responsibilities
Understand each health plan’s key initiatives, market impact, and partnership opportunities for NEMT and other MTM services
Manage the day to day Client relationships through comprehensive knowledge of Client protocols, both Client and MTM objectives, and operations
Daily interaction with Clients, providing preventative consultation, analysis and issue resolution, responding in a timely, professional manner
Responsible for timely and accurate management and execution of annual protocol review and submission of all protocol change requests
Understand and monitor future goals and expansion of health plans
Track, trend and analyze utilization data to provide Clients with additional opportunities to improve member compliance; identify opportunities for ancillary upsells and/or consultative services
Work with the Accounting department to ensure accurate billing and timely AR collection
Review and analyze member revenue and monthly summary report for trends and errors
Promote net profitability of all assigned accounts; working with internal analytics team as well as appropriate Client contacts to accomplish this
Recognize opportunities to educate Client contacts and related member populations regarding benefits and/or MTM processes, when necessary
Provide regular quality reports and consultative discussions
Work with Business Development team to expand business opportunities with existing Clients (market and industry level)
Maintain a good understanding of the managed care and non-emergency transportation industry rules, regulations and climate
Prepare for, coordinate and conduct quarterly in-service with each Client
Ensure the right audience is at the table for quarterly or monthly meetings to discuss organizational objectives and look for opportunities to offer value enhancing products, services and/or strategic solutions
Participate in ongoing training offered through MTM, CMS or health plan associations to strengthen knowledge base
Understand MTM’s business plan objectives and the impact of this role in growing our business
Learn and understand all aspects of the plan, benefit parameters, contract, and growth opportunities
Disseminate educational material to clients as needed
Inform clients of new items relating to the NEMT industry and/or MTM services
Present annual plan reviews and work in consultative manner with clients
Requirements
High School Diploma or G.E.D. equivalent
Bachelor’s degree in business administration, health care or equivalent work experience
2-5 years of experience in an Account Management role within the healthcare industry required, 5 years strongly preferred
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