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Advantmed

Risk adjustment and quality analytics provider

Healthcare Account Manager - In-Home Health Assessments

Customer SuccessConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • A bachelor's degree is required.
  • A certification in Business Administration, Account Management, or a related field, or equivalent work experience, is an advantage.
  • A minimum of 2–3 years of account management or similar experience in the healthcare industry is required.
  • Working knowledge of HIPAA and healthcare data privacy requirements is required.
  • Experience working with Operations and multiple stakeholders is required.
  • Computer skills and experience with Microsoft Excel, PowerPoint, and other relevant tools are required.
  • Experience managing service-level agreements, service health reporting using red-amber-green status, and corrective action plans is required.
  • Project management or account management certification, such as PMP or CAPM, is a plus.
  • Strong communication, interpersonal, presentation, and negotiation skills are required, along with a commitment to customer service.
  • Problem-solving skills, attention to detail, and the ability to analyze data and prepare basic reports are required.
  • Organization, time management, multitasking, prioritization, and meeting deadlines under pressure are required.
  • The ability to work independently and collaborate effectively within a team is required.
  • A proactive, results-oriented approach and flexibility to adapt to changing industry trends and client needs are required.

Responsibilities

  • Support new-client implementation calls as an operations subject matter expert, review requirements, and liaise with Operations teams on deliverables.
  • Attend weekly client calls led by the Client Success team as an operations subject matter expert, including video calls via Microsoft Teams.
  • Share production plans with clients, explain changes, and answer relevant questions.
  • Present in-home health assessment guidelines on client calls and answer related questions.
  • Support discussions about the client portal, including queries, requested changes, and solutions.
  • Participate in discussions about additional volume and liaise with internal teams as needed.
  • Address client service questions and escalations.
  • Support complaint handling, including closing the loop with clients.
  • Review project health and liaise with Operations when status is amber or red to develop a Plan of Action; Operations and Planning formulate the plan, and the account manager presents it to the client.
  • Coordinate with Operations and support items critical to client service-level agreements.
  • Liaise with relevant teams to manage client deliverables.
  • Monitor tasks to ensure timely follow-up with the client and Front Office.
  • Support the Process Change Request process by facilitating discussions with Operations and supporting solution development once approved, including follow-up with Operations and communication with the Project Management/Client Experience teams.
  • Participate in cross-functional objectives and key results and initiatives led by various teams.
  • Review client-facing ad hoc reports prepared by the Planning team to ensure they align with client needs.

Desired Qualifications

  • A certification in Business Administration, Account Management, or a related field, or equivalent work experience.
  • Project management or account management certification, such as PMP or CAPM.

About the Company

Advantmed

Risk adjustment and quality analytics provider

Advantmed provides healthcare solutions focused on risk adjustment and quality improvement for health plans and providers. It helps clients improve risk scores and quality metrics by ensuring complete documentation of patient encounters to support accurate reimbursement and regulatory compliance. Its ELEVATE! Risk Adjustment platform uses analytics to identify patients needing health assessments and retrieves medical records to substantiate diagnoses, with in-home, telehealth, and in-office assessment options. Its goal is to improve health outcomes and revenue integrity by ensuring accurate risk adjustment scores and better quality ratings across Medicare Advantage, Commercial, and Medicaid programs.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Santa Ana, CA
Founded
2005

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