Job Description
Job Description
Under the direction of the VP of Claims Operations, the Client Account Manager is responsible for managing and developing relationships between Client Stakeholders and MedPOINT Management. Acting as a key liaison between stakeholders, providers, and both internal and external teams, the role ensures the timely delivery of solutions that meet Client needs. Additionally, the Client Account Manager supports client satisfaction and compliance efforts, helping to ensure adherence to regulatory requirements.
Duties and Responsibilities
· Act as a communication link between Client Stakeholders, Providers, Hospitals and MPM to oversee projects and urgent issues.
· Conduct regular meetings and translate information into actionable items for improved service delivery.
· Develop relationships with other departments to resolve provider issues and collaborate on client projects.
· Lead Client meetings, track action items, and ensure timely task completion.
· Resolve contractual, operational, and payment issues, and perform root cause analysis on escalated inquiries.
· Educate providers/hospitals on new protocols and ensure HIPAA compliance.
· Monitor account performance metrics and prepare reports to track progress and identify areas for improvement.
· Analyze utilization trends for potential fraud, waste, and opportunities for improvement.
· Interface with Health Plan representatives to resolve service issues and manage special projects.
· Perform other duties/assignments as needed.
Minimum Job Requirements
· 5+ years of Managed Care, MSO, RKK or Health Plan experience
· Knowledge of regulatory requirements, contracts, and healthcare policy
· Proficiency in EZ-CAP, Tableau, Smartsheet preferred
· Project Management experience required
· Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, OneNote)
Skill and Abilities
· Establish and maintain collaborative relationships through effective verbal and written communication
· Exhibit strong problem-solving, critical thinking, and attention to detail
· Demonstrate professionalism while engaging with stakeholders and partners
· Highly organized, detail-oriented, and able to manage multiple priorities in a fast-paced environment
· Lead projects beyond standard job duties and develop training materials
· Understand business needs and MSO Operations
· Manage multiple priorities and deadlines with strong follow-through
· Preferred knowledge of payer operations, contract language, and DOFR interpretation