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Heath Plan Account Manager (Remote Opportunity)

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Quest Diagnostics

Today

  • Job
    Full-time
    Mid Level
  • Sales & Business Development
    Healthcare
  • Secaucus
    Remote

AI generated summary

  • You need 3+ years in healthcare/payor, expertise in problem resolution and relationship management, a Bachelor's degree, and a valid driver's license.
  • You will manage client service, enhance retention, support RFP processes, upsell products, resolve issues, analyze finances, and coordinate with various internal teams for optimal client support.

Requirements

  • 3 years+ healthcare/payor experience, including problem resolution, service management, and relationship management
  • Bachelor’s Degree (Required)
  • Valid driver’s license (Required)

Responsibilities

  • Manage the day-to-day service requirements for each client.
  • Retention of the business through service excellence
  • Maintains the key operational relationships at the client
  • Contributes to the RFP and contracting processes.
  • Upsells new product offerings and expansions, such as Anchor Tests, Wellness products or IT applications.
  • Develops key organizational links to people and functions who can help resolve client problems.
  • Collaborate with HP Account Executive partners to ensure alignment on priority service issues.
  • Develops financial analysis of denial recovery, contract performance and billing-related opportunities.
  • Coordinate medical engagement and policy reviews.
  • Coordinate with IT on eligibility and data agreements.
  • Coordinate with Commercial reps and marketing.

FAQs

Do we support remote work?

Yes, this position is largely remote with a preference for residency in the Central and Eastern Time Zones.

What qualifications are required for the Health Plan Account Manager position?

A Bachelor's Degree is required along with 3+ years of healthcare/payor experience, including problem resolution, service management, and relationship management.

Is prior experience in healthcare necessary?

Yes, a minimum of 3 years of healthcare/payor experience is required for this role.

What skills are essential for success in this role?

Essential skills include problem resolution, contract compliance, customer service, experience with billing systems, and payor/industry expertise.

Is travel required for this position?

Yes, some travel will be required for this role.

What is the primary responsibility of the Health Plan Account Manager?

The primary responsibility is to retain and grow a book of business by managing day-to-day service requirements within the designated health plan customer segment and/or region.

Are there opportunities for professional development within this role?

Yes, the organization emphasizes support and development of skills for its sales teams, providing opportunities for growth and learning.

What kind of support can I expect from the company?

The company offers outstanding support, as well as great pay and benefits to help you succeed in your role.

What kind of customer relationships will the Health Plan Account Manager maintain?

The role involves maintaining key operational relationships at the client and collaborating with HP Account Executive partners on priority service issues.

Is there a specific licensing requirement for this role?

Yes, a valid driver’s license is required for this position.

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Quest Diagnostics

Working together to create a healthier world, one life at a time.

Science & Healthcare
Industry
10,001+
Employees
1967
Founded Year

Mission & Purpose

Quest Diagnostics (NYSE: DGX) empowers people to take action to improve health outcomes. Derived from the world's largest database of clinical lab results, our diagnostic insights reveal new avenues to identify and treat disease, inspire healthy behaviors and improve health care management. Quest annually serves one in three adult Americans and half the physicians and hospitals in the United States, and our 47,000 employees understand that, in the right hands and with the right context, our diagnostic insights can inspire actions that transform lives. The company offers physicians the broadest test menu (3,000+ tests), is a pioneer in developing innovative new tests, is the leader in cancer diagnostics, provides anatomic pathology (AP) services, & interpretive consultation through its medical & scientific staff of about 900 M.D.s & Ph.D.s. The company reported 2020 revenues of $9.44 billion. Quest Diagnostics offers the most extensive clinical testing network in the U.S., with laboratories in most major metropolitan areas, & in Mexico, the UK & India. The company also operates four esoteric laboratories, 40 outpatient AP laboratories, & 160 smaller, rapid-response laboratories. Patients may have specimens collected in any of the company’s approximately 2,250 patient service centers. On a typical workday, testing is performed for about 550,000 patients. Quest Diagnostics empowers healthcare organizations & clinicians with state-of-the-art connectivity solutions. The company is the leading provider of pre-employment drugs-of-abuse screening for employers & risk assessment services for the life insurance industry. It is the world’s 2nd largest provider of clinical trials testing for new pharmaceuticals.