Clinical Account Executive - Remote
About The Position
The Clinical Account Executive provides direct clinical account support to UnitedHealthcare National Account customers. The role supports clinical account relationships through strategic planning for medical performance, consultative services, clinical analytics, and recommendations related to benefit design, closing care gaps, improving outcomes, and identifying medical expense management opportunities. The position works on an interdisciplinary team that includes Medical Directors and National Accounts client service staff. It researches, develops, and presents strategies to improve quality and performance, reduce variation in medical spending, support accurate documentation of member conditions, and increase Net Promoter Scores for assigned customers. The role is remote within the United States and requires travel 50% of the time.
Requirements
- Unrestricted Registered Nurse (RN) or Advanced Practice Nurse (APN) license, or pharmacist qualification.
- At least 5 years of ASO experience supporting National Accounts and/or Key Accounts.
- At least 2 years of data analytics experience.
- Valid driver's license and access to reliable transportation.
Nice To Haves
- At least 5 years of external client-facing account management experience.
- Experience in population health management.
- Project or program management experience.
- Expert knowledge of documentation and coding/risk adjustment accuracy.
- Intermediate to advanced ICUE proficiency.
- PowerPoint presentation skills.
- Ability to interpret complex data and make strategic recommendations using analysis of high-cost claimants.
- Ability to influence others through indirect and consultative skills.
- Ability to interact with medical practices, peers, and internal company staff at all levels.
- Excellent communication and presentation skills.
Responsibilities
- Provide day-to-day clinical account management support for assigned employer group accounts.
- Serve as a liaison between assigned employer group accounts and National Account Growth and Client Management teams to improve clinical performance and maximize medical cost-reduction opportunities.
- Provide real-time data informatics and clinical insight to Medical Directors for assigned employer group accounts.
- Build relationships and partner with National Account teams, internal clinical teams, and external partners to drive successful outcomes and improvement opportunities.
- Educate and partner with local market teams on specific business priorities.
- Create regular reports on employer group account performance, recommend performance improvements, and ensure initiatives are in place to achieve goals.
- Negotiate priority initiatives and strategies with senior business leaders for assigned employer groups.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase program.
- 401(k) contribution.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
