Account Executive, Managed Care

York Risk Services Group Inc.   •  

Austin, TX

5 - 7 years

Posted 259 days ago

This job is no longer available.

JOB SUMMARY:

Provide account leadership including coordination of internal analytical data, strategy and technical resources to deliver on client’s need and expectations

ESSENTIAL JOB RESPONSIBILITIES:

  • Develop business strategy regarding client satisfaction, retention, and growth; facilitate product and brand development.
  • Deliver upon a set scope of work that includes strategic development and results reporting.
  • Effectively lead and manage a team of skilled MCO Account Executives providing direction, support and continual development opportunities.
  • Define and assign client list based on geographic location and/or similar service requirements.
  • Lead implementation efforts for new clients; conduct onsite stewardship meetings; identify reporting needs.
  • Contribute to and monitor growth efforts during the Bureau of Workers’ Compensation’s biennial Open Enrollment.
  • Manage marketing budget plan and negotiations.
  • Work with multiple service lines to enhance overall client utilization.
  • Understand client business needs, participate in solution development and effectively communicate solutions to ensure client satisfaction.
  • Participate in and assist with maintaining quality management activities as appropriate.
  • Uphold all BWC and URAC standards as defined in the organization’s policies and procedures.
  • Provide education, and identify resources and solutions for issues.
  • Receive and respond to complaints in a timely manner.
  • Attend regional industry conferences.

SUPERVISORY RESPONSIBILITIES:

SUPERVISION RECEIVED:

  • The Director of Account Management and Sales receives supervision from the Chief Operating Officer

SUPERVISION EXERCISED:

  • The Director of Account Management and Sales directly supervises the Account Executives.

QUALIFICATIONS:

EDUCATION:

  • A four year college degree is preferred

EXPERIENCE:

  • Experience in the Ohio Workers’ Compensation industry, managed care concepts, HIPAA, ADA and FMLA is required
  • Strong operational experience in an account management/sales position with 6+ years in workers’ compensation

SKILLS/ABILITIES:

  • Must be able to travel extensively across the state
  • Excellent analytical, communication, time management, organizational, interpersonal, problem solving, and computer skills are necessary
  • Must be able to maintain confidentiality

KNOWLEDGE:

  • Must be knowledgeable and proficient with Ohio workers’ compensation and managed care concepts as well as applicable state and federal regulations (Ohio Workers’ Compensation, HIPAA, ADA, FMLA)

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