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The Government Account Executive within our Account Management team will develop and maintain business relationships with existing and prospective health plan clients, working with our Strategic Client Partners to achieve key objectives. This role is central to creating and executing strategies tailored to maintaining and expanding client-specific business. The ideal candidate will have five or more years of account management experience in a managed healthcare setting, preferably within Medicaid and Medicare Advantage, with a focus on dental and/or vision services. This is a fully remote/telecommuting position.

The Account Management Department, as a whole, is dedicated to overseeing and nurturing relationships with Managed Care Organizations (MCOs) and State contracts. This department plays a pivotal role in ensuring the successful execution and management of government-related healthcare programs, with a focus on Medicaid, Medicare Advantage, and other state-funded initiatives.

The Government Account Executive, specifically, is responsible for managing day-to-day interactions with MCOs and state agencies, ensuring compliance with contractual obligations, and driving strategic initiatives that align with both client and organizational goals. By closely collaborating with internal departments and external partners, we work to deliver exceptional service, support program implementation, and ensure that our solutions meet the evolving needs of the populations we serve. We are committed to maintaining strong, transparent, and effective partnerships that support the mission of providing high-quality healthcare services through government-sponsored programs.

Job Summary:

• Build and maintain multi-level relationships with assigned health plan accounts.
• Deliver exceptional customer service by managing established deliverables and handling ad hoc client requests.
• Serve as the primary client liaison, leading meetings and engaging relevant departments for support.
• Collaborate with internal subject matter experts and the Marketing department to develop client presentations.
• Meet with clients throughout the year to provide program updates and stay informed about evolving market dynamics.
• Coordinate with internal teams to create plans that improve quality scores (e.g., HEDIS, Stars) or adjust program costs as needed.
• Lead internal account meetings and oversee the completion of deliverables.
• Review client contracts to ensure compliance with terms and delegated functions.
• Analyze monthly program financials, highlighting key trends and strategies to management.
• Manage amendments and addendums to existing contracts.
• Partner with the Implementation department to ensure smooth execution of new business and benefit changes or product expansions.
• Maintain regular communication with clients to ensure high levels of customer satisfaction.
• Provide regular updates to the Strategic Client Partner on account activity.
• Identify and share meaningful insights from key accounts and market trends.
• Develop annual strategic plans for each client, adjusting them as necessary throughout the year.
• Collaborate with Business Development on cross-selling opportunities with existing clients.
• Take on additional responsibilities and special projects as needed or assigned.

Functional Competencies:

• Administrative and Operational Support

Demonstrates proficiency in providing high-level administrative support to Account Executives and Strategic Client Partners, ensuring seamless coordination of meetings, follow-up actions, and documentation. Manages tasks efficiently to support multi-level account relations.

• Meeting and Project Coordination

Effectively coordinates, manages, and participates in internal and external meetings, ensuring all necessary follow-up actions are completed. Demonstrates the ability to manage deliverables and maintain organized records such as meeting minutes.

• Interdepartmental Collaboration

Shows strong collaboration skills by working closely with various internal departments to ensure client updates are accurately implemented. Maintains quality oversight and ensures all client requests are fulfilled to their satisfaction.

• Reporting and Data Management

Exhibits strong attention to detail in reviewing and analyzing monthly, quarterly, and ann