Note: The job is a remote job and is open to candidates in USA. CareSeed, a Sagility company, is a healthcare IT vendor focused on software solutions that help healthcare clients measure quality, identify care gaps and disparities, and improve member well-being. The Senior Account Manager will serve as the primary contact for healthcare payer clients, manage project engagements and deliverables, provide HEDIS expertise and data analysis, and support audits, medical record review projects, and product improvements.
Responsibilities
- Serve as primary client contact to develop and manage project plan ensuring all client deliverables are met on time
- Manage client expectations to ensure CareSeed is meeting customer needs
- Serve as HEDIS subject matter expert and maintain high level of industry knowledge regarding HEDIS technical specifications, measure updates, and audit standards
- Assist client with audit preparation and responses including data query and documentation requests
- Provide data analysis using MS Access, MS Excel or MS SQL to assist with data drill-down as needed
- Review CareSeed deliverables for completeness and accuracy prior to sending to clients, including rate reports, data analysis, project plans, and other work product
- Assist with operational management of annual medical record review projects to help internal and external teams successfully execute and complete HEDIS hybrid projects as well as year-round supplemental data collection
- Assist with product testing, updates to the product backlog and contributing enhancement requests and defect fixes to software development team
- Some travel to client sites and industry conferences as needed
Skills
- Five or more years HEDIS reporting experience at a Health Plan or HEDIS software vendor
- Solid understanding of clinical concepts that are essential for interpreting HEDIS technical specifications and understanding of medical claims data
- Experience working with data to interpret HEDIS results and provide analysis to clients using MS Excel, MS Access or MS SQL
- Ability to manage timelines, to work independently in a remote environment, and to develop solutions toward meeting project milestones
- Adaptability and willingness to adjust to changing timelines without being micromanaged
- Effective oral and written communication skills to collaborate with other team members both within CareSeed and with our client partners
Benefits
- Fully remote work arrangement in the U.S.
- Career leverage through specialized, high-impact healthcare analytics work
- Direct impact on healthcare quality and outcomes
- Product, consulting, and operations exposure
- Strong ownership in a specialized team
- Backing by the Sagility platform
Company Overview