Account Manager Client Services - Remote

UnitedHealth Group•Stuart, FL

1d•$72,800 - $130,000•Remote

About The Position

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. We are seeking a Healthcare Strategic Partner Relationship Manager to establish, maintain, and enhance relationships with healthcare trading partners, including providers, payers, and vendors. This role ensures smooth electronic data interchange (EDI) transactions, facilitates onboarding, and resolves technical and operational issues. The ideal candidate has expertise in healthcare EDI transactions (837, 835, 270/271), regulatory compliance (HIPAA, HITECH), and a solid ability to manage partnerships effectively. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

5+ years of experience in healthcare management, strategic partnerships, or business development, with a proven track record of managing complex healthcare relationships
Proven solid understanding of the healthcare ecosystem, including providers, payers, technology, and regulatory aspects
Proven excellent communication, negotiation, and interpersonal skills
Ability to think strategically and work collaboratively across various teams
Experience in managing large, multi-stakeholder projects and partnerships
Proven solid problem-solving skills and ability to manage conflict effectively
Ability to analyze data, generate reports, and drive process improvements
Ability to travel 10%
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Candidates are required to pass a drug test before beginning employment.

Nice To Haves

Experience in healthcare, IT, digital health, or value-based care
Familiarity with healthcare regulations, compliance, and standards such as HIPAA
Knowledge of CRM software, project management tools, and other partnership management platforms
Experience with healthcare clearinghouses, TPAs, or claim processing systems
Knowledge of claim adjudication workflows and payer-provider interactions
Project management experience in a healthcare IT environment
Solid interpersonal skills, including verbal and non-verbal communication skills, active listening skills and the ability to work with others towards a common goal
Understands how businesses operate, how they create strategies and how to manage a business' operation effectively
Ability to analyze data, company expectations and goals and other factors that contribute to the partnership. This requires solid analytical and critical thinking skills to translate complex data into viable insights
Understands the market each business operates in, how to market to the target audience and have advanced knowledge of modern marketing tactics
Solid organizational skills, being able to organize information, strategic insights, documents and time to do their job effectively

Responsibilities

Develop and maintain solid relationships with healthcare providers, payers, and third-party vendors to facilitate seamless data exchange
Develop and execute partnership strategies to maximize the value of partnerships and drive mutual success
Negotiate and structure partnership agreements, ensuring alignment with organizational goals and objectives
Serve as the primary point of contact for all partner relationships, ensuring ongoing communication, satisfaction, and alignment of interests
Regularly meet with partners to assess the health of the partnership, gather feedback, and identify areas for improvement
Monitor partnership performance, track key performance indicators (KPIs), and implement actions to enhance outcomes
Work closely with internal teams, including sales, marketing, product development, and customer service, to ensure alignment on strategic initiatives and deliverables
Collaborate with business leaders to align partner strategies with the organization’s overall business goals and objectives
Support internal teams with partner-specific knowledge, industry insights, and market intelligence to foster effective decision-making
Stay up-to-date with industry trends, emerging technologies, and regulatory changes in healthcare to provide informed advice to partners
Conduct competitive analysis to identify new opportunities for partnerships and growth within the healthcare space
Proactively identify and resolve issues or challenges that may arise within partner relationships, working quickly to address concerns and maintain solid, trust-based partnerships
Escalate critical issues when necessary and ensure that they are resolved in a timely manner
Prepare and deliver regular reports on partnership performance, including key metrics, growth opportunities, and outcomes to senior management
Ensure effective tracking of partnership milestones and deadlines, providing visibility on progress