Senior Payer Account Manager

Inovalon•Bowie, MD

10d•Hybrid

About The Position

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building. Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve. Location: This position is a hybrid role based out of HQ Bowie, Maryland office. The current expectation is that we are in office two days each week (Tuesday-Wed), with extra additional days as required during the month. Overview: The Senior Payer Account Manager is responsible for overseeing, managing and growing key payer relationships. The Account Manager will plan, direct, or coordinate payer relationship-building and management tasks, as well as work with internal and external facing departments to coordinate all activities with payer and trading partner accounts with a special emphasis on driving revenue. The Senior Payer Account Manager is also responsible for coordinating tasks associated with new direct connections with payers and trading partners. Including, facilitating testing requirements, payer enrollment configuration and payer production deployment

Requirements

Minimum of 5 years’ experience managing healthcare payer relationships
Proficient knowledge of EDI Transaction sets
Proven track record understanding requirements, business issues, and knowledge of markets & solution segments
Excellent critical thinking and logical reasoning abilities
Excellent written and verbal communication skills
Strong presentation skills
Understanding and managing expectations, ability to drive win-win solutions, building and maintaining Payer relationships
Self-motivated with strong organizational/prioritization skills and ability to multi-task with close attention to detail
Ability to thrive in fast-paced and changing environment
Ability to work with all levels of individuals as a team player or in leadership role; project leadership experience preferred

Responsibilities

Manages internal and external resources on behalf of Inovalon to meet payer needs and assure trading partner satisfaction
Acts as escalation point for issue resolution
Reviews operational records and reports to create monthly/quarterly/year-end reporting based on company standards.
Proactively reaches out to payer partners to better understand their needs and challenges
Assist Sales with potential customers regarding service needs and advise as to current capabilities
Represent company at Industry conferences and Workgroups
Act as initial point of contact for payers and trading partners
Increase Payer revenue
Assist in building and maintaining in house documents, SOP’s and training materials
Maintain compliance with Inovalon’s policies, procedures and mission statement
Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position
Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company
Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function
We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such.