GENERAL PURPOSE OF JOB
This role develops and strengthens client relationships, provides quality service, and addresses and solves client problems/issues. Operations Administrator must demonstrate a thorough understanding of client needs and QuadMed's tools/processes and products/solution and creates solutions that fulfill our client's needs. The Operations Administrator must identify additional opportunities to improve client's management population health and for aligning QuadMed's core competencies with client's goals and objectives. This position is responsible for the day-to-day relationship with the client. Operations Administrator must also coordinate a collaborative relationship with internal account team & lead weekly or bi-weekly communications on client asks and expectations to insure completion.
KEY RESPONSIBILITIES
- Fosters and grows client relationships in partnership with Operations Managers
- Develops relationships with brokers, consultants, and vendors in partnership with Operations Managers
- Develops strategy and framework to collaboratively engage clients in creating joint solutions that delivers on strategy
- Manages a book of business up to $1M
- Drives development and implementation with OM's on new client schedules, programs and goals
- Administers eligibility, schedules, and health and wellness center programs
- Evaluates client concerns and leads resolutions of open Client Action Log items, ensuring collaboration with clients, team members and stakeholders.
- Oversees of operational dashboard metrics in partnership with Health Center Manager
- Data analytics, identifying variance, trends, and opportunities for business and development
- Monthly, quarterly, and annual client report data validation, preparation and development
- Client invoice review and modification; B03 is the process QM follows to amend invoices
- Working knowledge of Salesforce
- Familiarity with Epic reporting
- Initiates client Amendments following KIS process
- Manages client eligibility file and monitor for changes/errors that may impact business
- Partners with Health Center Manager on plans to achieve operational performance guarantees and utilization goals for the health center
- Meets Performance Guarantees related to report timeliness
- Visits to the health center to assist with conducting facility audits as needed
JOB REQUIREMENTS
Education:
- High school diploma
- Bachelor''s degree in business or health services administration or related field is preferred
Experience:
- Relevant experience in client services required; experience in health care/health plans preferred.
- Salesforce and Epic experience preferred
Knowledge, Skills & Abilities:
- Make sound and logical judgments as it pertains to budgets, contracting, negotiating and communicating with clients
- Strong interpersonal, written, and oral communication skills
- Facilitate discussion and partner with teams
- Detail oriented
- Knowledge of health and wellness center operations and can execute strategies, budgets and execute deliverables
- Identifies industry and healthcare trends to set 1/3/5-year key account plans for client
- Proven ability to work effectively with diverse populations and a demonstrated commitment to fostering inclusion.
Employees can be expected to be paid an annualized salary range of $80,000-$85,000, based on variations in knowledge, skills, experience, and market conditions.
Creating a better way. It's more than just the philosophy we were founded on. It's our purpose. For our employees, it means more time with patients. Unrushed visits to build meaningful relationships. And most importantly, an opportunity to empower our patients to achieve their full potential - at work and in life. Determined to make a difference? Join our health care revolution and be a part of something better.