Licensed Account Manager

About Longevity At Longevity, we're dedicated to advancing healthcare through innovation, compassion, and excellence. We're looking for passionate individuals to join our team and help us make a difference. The individual holding this position is required to support and demonstrate their commitment to Longevity Health’s purpose:
To optimize the quality of life of people in long-term care by focusing on their individualized health needs.

Brief Description Join us in transforming healthcare.

This position of Licensed Account Manager is a field-based role which reports to the Market Vice President and whose major focus is to support the member care delivery system and skilled nursing facility partners in providing high quality patient-centered care for I-SNP members. The Licensed Account Manager is the main point person of contact for assigned facilities and will coordinate activities of and be supported by Network, Clinical, and Project Management teams in the organization.

The Licensed Account Manager is responsible for communicating all enrollment, clinical, and quality targets for their facilities and works collaboratively with other departments to achieve these goals.

As a portion of their role, the Licensed Account Manager also functions as a Sales Executive and is responsible for achieving monthly enrollment goals throughout their assigned territory. Achieving enrollment goals will be the result of generating leads through referral development and conducting sales presentations in accordance with CMS regulations. Sales Executives will be responsible for collaborating on monthly enrollment goals and developing strategies to attain set targets, while providing daily production updates.

• Responsible for coordinating all plan functions related to their assigned facilities and leads the joint team effort of delivering high quality and cost-effective program of care in conjunction with facility, plan, corporate staff, and management.
• Serves as the main point of contact between facility and plan; collaborates with facility management and staff to ensure quality services are provided to members and plan administrative functions are carried out effectively.
• Maintains a regular visit schedule for assigned SNFs, visiting each at least monthly and ensuring ongoing communication with all relevant SNF leaders and LHP champion.
• Manages SNF contractual relationships and ensures accurate administration of contract terms.
• Leads and participates in multidisciplinary teams comprised of contracted provider representatives.
• Identifies and resolves operational issues between plan and facility and coordinates implementation of solutions to ensure positive long-term working relationship.
• Provides ongoing intervention and assistance in the management of contracting, claim payment, facility and provider credentialing, requests for records or data review related to HEDIS or other reporting needs or audits as required, coordinating all communication between Longevity and the facility.
• Completes monthly data reviews and presents educational/best practice topics at cross-functional meetings with SNF leadership team.
• Together with Market VP, establishes facility specific strategy and enrollment goals then enacts strategy within assigned facilities.
• Identifies key providers and supports contracting efforts by developing relationships with IPAs, hospitals, and key specialty services.
• Leads the implementation of I-SNP participating providers in their region and ensures that all assigned participating nursing facility and related providers are prepared to offer Longevity ISNP program.
• Verifies each facility is prepared to successfully launch I-SNP according to schedule and oversees all aspects of a compliant ISNP program at the facility by coordinating all activities across Longevity for the facility, with Longevity vendors and back-office operations, and acts as the liaison with relevant and local provider network.
• With support of clinical team, ensures correct/complete member records within various LHP-utilized systems.
• Regularly documents market-based efforts and current partner…