Account Manager

As an Account Manager, the primary objective is to provide day-to-day support to the client and the company the company’s VP of Account Management. The Account Manager will serve as a focal point of contact for all clients/projects to which they are assigned by managing communication with these specific clients, which includes working cross-functionally with various internal the company the company teams.

The company the company’s success relies on individual and team contributions every day. We care for our customers, each other, and the company the company. It is the responsibility of all of us to maintain a positive working environment that promotes client satisfaction and results.

Duties and Responsibilities

• Managing communication for a targeted list of Workers’ Compensation and Health Plan accounts around program and case-related questions, issue detection and resolution, department escalations with a focus on account growth and development

• Facilitate implementation meetings, configure client profiles, manage user access permissions, and coordinate go-live requirements.

• Serve as the primary point of contact for clients by leading regular performance reviews (JOCs/QBRs), addressing inquiries, and resolving complaints.

• Generate, validate, and distribute daily, weekly, and monthly performance metrics while managing ad-hoc data requests to drive strategic initiatives.

• Assist with the sales pipeline by participating in scoping meetings, preparing pricing models, supporting RFP/RFI responses, and collaborating on marketing campaigns.

• Coordinate contract (SOW/Addendum) renewals with legal teams.

• Partner with IT and Product teams on system enhancements and user testing based on operational and client feedback.

• Coordinate audits, security assessments, and remediation plans with compliance and regulatory teams.

• Align client capacity requirements with recruitment priorities, ensuring network coverage meets regulatory and organizational standards.

Requirements

Education/Credentials

• An Associate’s Degree or Bachelor’s Degree is preferred.

• Clinical experience preferred (LPB, RN, or CPHT)

Job-Relevant Experience

• Excellent communication skills, both written and verbal, along with a strong sense of urgency to meet our clients’ expectations

• Excellent time management and attention to detail

• Strong research skills with the ability to analyze and report data

• 2-3  years of related experience (Account Management or Account Management support)

• Workers’ Comp, Health Plan, PBM Utilization Review, Managed Care, or Claims background preferred

• Experience navigating web-based systems efficiently

Benefits

Join our team at the company the company and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.

ABOUT the company the company

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.