Senior Account Executive - Health Plan (WAH

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Company: Magellan Health Services
Location Philadelphia, PA
Date Posted: April 9, 2015
Source: Magellan Health Services
*Job Summary* 

Overall management of assigned book of business for the Magellan’s products and services in order to achieve profitable retention of accounts.

1. Differentiation of compensation is based on: 

* Experience/ Proven Results


* Autonomy /Independence


* Strategic Thinking /Leadership


* Knowledge


* Financial Ownership


* Builds relationships/alliances with matrix partners
*Essential Functions* 

* Customer Relationship: 


  o Develops and maintains a strategic business plan that fully reflects the customer’s business objectives and how our solutions align with those objectives and goals and specifically guides our operational, financial, network, clinical and relationship initiatives.


  o Understands the customer structure and demonstrates the ability to apply this knowledge in business/retention planning for the client.


  o Ensures Service Level Agreement performance, assurance of accuracy of claims payment/administrative policies, rate maximization through ongoing benefit analysis and adherence to requirements of the account’s legal/regulatory environment.


  o Owns overall account satisfaction with Magellan as well as satisfaction with all specific areas particularly account management.


  o Develops strong relationships which penetrate the customer at various levels from day to day contacts to senior leadership involving other Magellan staff to maintain multiple connections and strengthen the overall relationship.


  o Develops strong relationships and contacts within Magellan that are supportive of the achievement of customer service requirements including attainment of performance guarantees and minimization of performance penalty expense.


  o Ensures all customer and account-facing services are provided in a consistent and timely fashion.


  o Supports the Internal Customer Operating Model


  o Resolves or appropriately escalates customer service issues when escalated by the ASR in conjunction with operations (claims, service, and systems).


  o Provides mentoring to Account Executives, Account Managers, and Account Service Representatives in effective problem solving and servicing of the account.


  o Develop, introduces, and executes the customer governance process.


  o Builds relationships/alliances with matrix partners


* Compliance: 


  o Coordination with the compliance department on knowing and understanding regulations and the implication to customer impact


  o Oversees audit to ensure a proactive approach in supporting critical client compliance.


  o Proactive communication to internal and external contacts


  o Demonstrates thorough contract understanding and detailed knowledge of business requirements.


  o Coordinates with legal to ensure contract compliance


  o Develops and execute contractual documents/amendments in conjunction with Finance and Legal


* Reporting: 


  o Presents customer reports with meaningful analytics, trending and recommendations for program improvement based on findings and ensure coordination with the client


  o Oversight of reporting calendar to ensure timely submission.


  o Analysis of data/reporting and executive summary development.


  o Ensures all client reports have an executive summary and explanation of data.


* Financial: 


  o Ensures revenue goals are met, cost of care and administrative expenses are managed and segment profit targets are achieved for assigned account (s).


  o Demonstrates a thorough knowledge of Cost of Care implications internally and for the client.


  o Ensures performance standards are measurable and realistic to achieve and/or exceed to avoid penalties; partners with Operations and Network on monitors; manages methodology, reporting and communications.


  o Directly participates and supports all renewal activities.


  o Manages risks and develop opportunities associated with underwriting.


* Upset/Product/Growth: 


  o Analysis of account and ability to apply this knowledge to growth


  o Drives up-sell and renewal activities across assigned account(s). For new business and renewals, negotiates and/or supports negotiation of rates and contractual terms with customers that result in achieving segment profit targets and creatively adjusts features and service delivery models that increase efficiency and improve value to the customer and/or margin for Magellan.


  o Where applicable, achieve objectives for regarding the EAP re-seller agreement


  o Supports health plan with behavioral health retail sales


  o Identifies products and services that bring solutions to the customer based on a thorough understanding of the customer’s strategic business goals and the business needs.


  o Demonstrates depth of knowledge of ALL Magellan products and how multiple products are interdependent within the customer contract deliverables and clinical outcomes.

*Minimum Requirements* 


*Field(s) of study:*Health or Business related field

*Experience Job Specific:*8 yrs. of broad-based of Health Care experience including account management experience; 5-8 years SAE I

An equivalent combination of experience and education is acceptable.

Excellent Leadership, Management of Resources, Communication, Negotiation skills, Business & Organization Knowledge and Teamwork Building skills. One Magellan” Thinking; Quantifiable Business Results; Leadership of People; Service Orientation (External and Internal); Flexible and Adaptable; Management of Projects, Tasks and People; Teamwork; Expert Knowledge.

*Computer Skills*: Microsoft Office
*Preferred Qualifications* 

*Education:*Masters Degree

*Experience:*Operations or Account Management experience in the behavioral healthcare, Health and Welfare benefits and or health insurance industries.


**Title:** *Senior Account Executive - Health Plan (WAH in PA)* 

**Location:** *PA-Philadelphia PA* 

**Requisition ID:** *18255*

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