Medicare Account Executive

What will your job look like?

The Medicare
Account Executive works closely with each Client, at executive levels, to create a partnership through expertise as a consultant, an advisor, an advocate, and a liaison. The Medicare
Account Executive proactively reviews performance metrics to promote Client satisfaction, profitability and retention using technology, tools, processes, and resources to anticipate and exceed Client needs and expectations. The Medicare
Account Executive must understand their Clients’ needs and organization objectives to effectively discuss product and service solutions.

The Medicare
Account Executive supports campaign work for new products and market expansion in partnership with the Business Development team to ensure the needs of the Client are met and growth opportunities are at the forefront. The principle focus of the Medicare
Account Executive is to secure a strategic partnership with the Client, ensure retention, and bring cross functional solutions to the table. Understanding the market dynamics, being an industry expert, and delivering strong consultative skills are key.

Location:

This is a remote or hybrid role (if located within 40 miles of an MTM office location).

• Understand each health plan’s key initiatives, market impact, and partnership opportunities for NEMT and other MTM services
• Manage the day to day Client relationships through comprehensive knowledge of Client protocols, both Client and MTM objectives, and operations
• Daily interaction with Clients, providing preventative consultation, analysis and issue resolution, responding in a timely, professional manner
• Responsible for timely and accurate management and execution of annual protocol review and submission of all protocol change requests
• Understand and monitor future goals and expansion of health plans
• Track, trend and analyze utilization data to provide Clients with additional opportunities to improve member compliance; identify opportunities for ancillary upsells and/or consultative services
• Work with the Accounting department to ensure accurate billing and timely AR collection
• Review and analyze member revenue and monthly summary report for trends and errors
• Promote net profitability of all assigned accounts; working with internal analytics team as well as appropriate Client contacts to accomplish this
• Recognize opportunities to educate Client contacts and related member populations regarding benefits and/or MTM processes, when necessary
• Provide regular quality reports and consultative discussions
• Work with Business Development team to expand business opportunities with existing Clients (market and industry level)
• Maintain a good understanding of the managed care and non-emergency transportation industry rules, regulations and climate
• Prepare for, coordinate and conduct quarterly in-service with each Client
• Ensure the right audience is at the table for quarterly or monthly meetings to discuss organizational objectives and look for opportunities to offer value enhancing products, services and/or strategic solutions
• Participate in ongoing training offered through MTM, CMS or health plan associations to strengthen knowledge base
• Understand MTM’s business plan objectives and the impact of this role in growing our business
• Learn and understand all aspects of the plan, benefit parameters, contract, and growth opportunities
• Disseminate educational material to clients as needed
• Inform clients of new items relating to the NEMT industry and/or MTM services
• Present annual plan reviews and work in consultative manner with clients

• High School Diploma or G.E.D. equivalent
• Bachelor’s degree in business administration, health care or equivalent work experience
• 2-5 years of experience in an Account Management role within the healthcare industry required, 5 years strongly preferred
• Working knowledge of financials
• Must possess a valid driver’s license

• Excellent communication skills
• Excellent interpersonal skills and ability to work with a people at all job levels
• Influencing and negotiation skillsly
• Market awareness
• In-depth knowledge of MTM operations, contracting,…