Health Plan Account Manager

We Provide Solutions. Patients and Physicians rely on our diagnostic testing, information, and services to help them make better healthcare decisions. These are often serious decisions with far reaching consequences, and require sensitivity, tact, and a clear dedication to service. It’s about providing clarity and hope.

The Health Plan Account Manager will retain and grow a book of business by managing day to day service requirement within the designated health plan customer segment and/or region and management of a national health plan. A sales and account management background in medical insurance coverage or experience with managing health plans is preferred.

This is a National Account focused sales role with remote options available for candidates located in Quest Business Centers.

• Manage the day-to-day service requirements for each client. 
• Retention of the business through service excellence and account management.
• 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 primarily around In-Network direction campaigns supporting health plans.  

Required Work Experience:  

• 5-7 years sales experience in a Healthcare, Medical or Health Plan Administration and/or Billing Analysis required 
• 3 years+ healthcare/payor experience including problem resolution, service management, relationship management 

Skills:  

• Problem resolution 
• Contract compliance 
• Customer service 
• Excel, Access 
• Billing systems 
• Payor/industry expertise 
• Team-orientation 
• Self-motivated and action oriented

Education:

Bachelor’s Degree Required

Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets