Medicare Account Executive

MTM•Saint Louis, MO

11d•$100,000 - $125,000•Hybrid

About The Position

The Medicare Account Executive works closely with each Client, at executive levels, to create a partnership through expertise as a consultant, an advisor, an advocate, and a liaison. The Medicare Account Executive proactively reviews performance metrics to promote Client satisfaction, profitability and retention using technology, tools, processes, and resources to anticipate and exceed Client needs and expectations. The Medicare Account Executive must understand their Clients’ needs and organization objectives to effectively discuss product and service solutions. The Medicare Account Executive supports campaign work for new products and market expansion in partnership with the Business Development team to ensure the needs of the Client are met and growth opportunities are at the forefront. The principle focus of the Medicare Account Executive is to secure a strategic partnership with the Client, ensure retention, and bring cross functional solutions to the table. Understanding the market dynamics, being an industry expert, and delivering strong consultative skills are key. Location: This is a remote or hybrid role (if located within 40 miles of an MTM office location).

Requirements

High School Diploma or G.E.D. equivalent
Bachelor’s degree in business administration, health care or equivalent work experience
2-5 years of experience in an Account Management role within the healthcare industry required, 5 years strongly preferred
Working knowledge of financials
Must possess a valid driver’s license
Excellent communication skills
Excellent interpersonal skills and ability to work with a people at all job levels
Influencing and negotiation skills
Market awareness
In-depth knowledge of MTM operations, contracting, and Quality Assurance
Ability to schedule, organize, and prioritize multiple tasks
Ability to analyze utilization data to provide solutions and recommendations
Knowledge of budgets, cost analysis and plan financial statements
Ability to handle questions and resolve issues in a timely and constructive manner
Moderate to advanced computer skills
Ability to demonstrate a proactive attitude and initiative
Must be able to work under pressure, be a self-starter, and demonstrate behavior that indicates drive and flexibility
Possess in-depth knowledge of MTM transportation guidelines and vendor programs
Ability to maintain high level of confidentiality
Regular attendance is required

Responsibilities

Understand each health plan’s key initiatives, market impact, and partnership opportunities for NEMT and other MTM services
Manage the day to day Client relationships through comprehensive knowledge of Client protocols, both Client and MTM objectives, and operations
Daily interaction with Clients, providing preventative consultation, analysis and issue resolution, responding in a timely, professional manner
Responsible for timely and accurate management and execution of annual protocol review and submission of all protocol change requests
Understand and monitor future goals and expansion of health plans
Track, trend and analyze utilization data to provide Clients with additional opportunities to improve member compliance; identify opportunities for ancillary upsells and/or consultative services
Work with the Accounting department to ensure accurate billing and timely AR collection
Review and analyze member revenue and monthly summary report for trends and errors
Promote net profitability of all assigned accounts; working with internal analytics team as well as appropriate Client contacts to accomplish this
Recognize opportunities to educate Client contacts and related member populations regarding benefits and/or MTM processes, when necessary
Provide regular quality reports and consultative discussions
Work with Business Development team to expand business opportunities with existing Clients (market and industry level)
Maintain a good understanding of the managed care and non-emergency transportation industry rules, regulations and climate
Prepare for, coordinate and conduct quarterly in-service with each Client
Ensure the right audience is at the table for quarterly or monthly meetings to discuss organizational objectives and look for opportunities to offer value enhancing products, services and/or strategic solutions
Participate in ongoing training offered through MTM, CMS or health plan associations to strengthen knowledge base
Understand MTM’s business plan objectives and the impact of this role in growing our business
Learn and understand all aspects of the plan, benefit parameters, contract, and growth opportunities
Disseminate educational material to clients as needed
Inform clients of new items relating to the NEMT industry and/or MTM services
Present annual plan reviews and work in consultative manner with clients