Client Success Manager - Value Based Care

Marathon Health • Town of Stephentown, NY

1d • Hybrid

About The Position

The Client Success Manager is responsible for developing and maintaining a strong and lasting client and broker/consultant partnership with assigned customers. This role is engaged in the strategic and proactive planning within the client’s overall line of business and is responsible for identifying and executing opportunities to engage the employee and member population to ultimately drive clinical and savings outcomes. The Client Success Manager serves as a trusted advisor who leverages claims data, value-based care insights, and performance analytics to demonstrate ROI and guide clients toward strategies that optimize health outcomes and total cost of care. This is accomplished via proactive and timely issue resolution, consulting customers on best practices, reviewing service/product offerings, recommending new solutions, and providing market insights.

Requirements

• Bachelor’s degree in business or healthcare administration and 5 or more years of directly related healthcare operations or account/client management experience, or an equivalent combination of education and experience.
• Proven success managing clients with complex needs and high expectations.
• Experience influencing stakeholders at all levels.
• Experience and understanding of Tart-Hartley and union environment.
• Strong command of healthcare data analytics, claims analysis, value-based care models, performance guarantee structures, and operational/clinical alignment.

Nice To Haves

• Experienced in developing and delivering presentations, including claims reviews and value-based care performance summaries.
• Working knowledge of medical and pharmacy claims data, cost drivers, and total cost of care methodologies.
• Familiarity with value-based care frameworks, risk stratification, and quality measure reporting (e.g., HEDIS, care gap closure).
• Possesses a high energy personal style and aptitude for process-oriented thinking.
• Possesses strong oral and written communication skills.
• Ability to build, foster, and maintain positive professional relationships.
• Ability to influence others and work cross-functionally; possess ability to manage ambiguity and the organizational acumen to establish effective internal networks.
• Willingness to develop an in-depth understanding of the market, business sector, and related services and think creatively to find solutions that are efficient and sustainable.
• Understands and advocates for process improvement and adherence.
• Ability to perform services for the client with tenacious follow up.
• Strong project management, account portfolio planning, and prioritization.
• Proficiency in use of Microsoft Office, Tableau, and CRM products (Salesforce experience preferred).
• Direct experience working with or alongside risk‑based, value‑based, or alternative payment models, including PEPM structures, cost‑plus arrangements, outcomes‑based pricing, or shared‑risk frameworks.
• Strong command of healthcare data analytics and claims interpretation, including medical and pharmacy claims, utilization patterns, risk stratification, and cost drivers, with the ability to translate insights into meaningful client action.
• Experience designing, operationalizing, or supporting performance guarantee structures, outcomes‑based measurement, and financial accountability models in partnership with brokers, health plans, or employer sponsors.
• Experience and understanding of Taft-Hartley and union environment.
• Must live in California.
• Willingness to travel up to 50%.

Responsibilities

• Develop a deep understanding and interest of population health and healthcare utilization data, including medical and pharmacy claims trends, with the ability to articulate results and translate insights into actionable client strategies.
• Leverage claims data and value-based care metrics to identify care gaps, high-cost utilization patterns, and opportunities for improved clinical intervention and cost containment.
• Participate in new health center implementation planning and launch.
• Manage contractual requirements including renewal terms and successfully renew clients at targeted escalation.
• Identify and target revenue growth opportunities with existing clients including new member populations, health centers, products, and services.
• Help define and leverage the coverage model for assigned Taft-Hartley clients.
• Use creative feedback tools to develop an understanding of customer’s needs; work with internal partners to improve products and services.
• Coordinate with the marketing team to develop and implement client-specific engagement plans including communication and incentive plans to improve utilization and patient experience.
• Partner on strategies to drive employee and member engagement, achieve clinical and savings metrics, meet performance guarantees tied to value-based care outcomes, and maintain open communications with clinical staff.
• In collaboration, analyze, summarize, report, and manage performance data related to clinic operations, claims experience, and value-based outcomes.
• Understand and track risk metrics related to the success of the partnership.
• Consult with clients on value-based care principles, helping them understand how primary care investment reduces downstream claims spend and improves overall plan performance.
• Maintain Salesforce documentation and reporting.
• Execute all necessary contractual requirements in a timely manner; may assist in Requests for Proposals (RFPs) as requested.
• Support the coordination of client eligibility file processing, invoicing, incentive documentation, and reporting.
• May serve as the lead point of contact for all customer needs and requests.
• Maintain broker relationship and engage in positive relationship to advocate on behalf of mutual client.
• Run, interpret, and deliver client reporting - including claims analysis, utilization trends, and value-based care scorecards - on the appropriate frequency.

Benefits

• FREE Marathon Health services for you and your family, which provides unlimited, free primary care, routine labs, select prescriptions, vaccinations, and virtual mental health care for you and your family
• Choice of 2 medical plans, 2 dental plans, and vision coverage
• Unlimited free mental health benefits and EAP resources
• Rewards for challenges and healthy lifestyle activities
• Family-building and reproductive health benefits
• Paid parental leave
• Generous PTO or FTO
• Paid Holidays + A Day for What Matters
• Company paid Basic Life and Disability insurance
• Supplemental Life
• Spending Accounts
• 401(k) with employer match and graded vesting
• Continuing Medical Education (CME) for maintaining and strengthening the knowledge, skills, and expertise of our health center teammates, as applicable

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level