Managed Care Account Manager

Ability to analyze complex managed care, reinsurance, and stop-loss arrangements and communicate clearly. Familiarity with provider contracting.

An understanding of CMS alternative capitated payment model.

Understanding of capitated payment models.

Ability to collaborate effectively with clients, carriers, TPAs, and internal teams.

Demonstrates a client-first approach.

Knowledge of EPIC or similar agency management system preferred.

Collaborates with the team to consistently deliver high-quality service to managed care clients with a focus on reinsurance and provider stop-loss programs. Ensures service standards including execution, delivery, and retention are achieved.

Provides efficient, professional, and courteous service to clients by phone, in writing, and in person.

Accountable for always doing the right thing for customers and colleagues and ensures that actions and behaviors drive a positive customer experience

Provides daily administrative and client service support to Producers, Account Executives, and managed care clients within reinsurance and provider stop-loss programs.

Gathers, reviews, and prepares renewal data including claims experience, large claimant reports, premium and rate history, and exposure information.

Supports a Middle Market book consisting of managed care, provider stop-loss, and reinsurance programs; experience in these areas is highly preferred.