Senior Account Manager

REMOTE IN WICHITA, KS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Account Manager has geographic responsibility for the quality and economic performance of the physician practice with the goal of developing a high performing provider network within the State of Kansas. This includes analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. The Senior Account Manager will develop and sustain a solid day-to-day relationship with stakeholders, the physician and office staff to effectively implement the business solutions developed by the Client Services leadership team. They are accountable for overall performance and profitability for their assigned groups as well as ownership and oversight to provide redirection as appropriate and approved. The responsibilities of this position include capabilities in the following areas: strategic planning and analysis; understanding of HEDIS, Star ratings, accurate documentation and coding; highly developed communication skills; and the ability to develop clear action plans and drive process. Schedule: Monday - Friday, 8am - 5pm Location: This role is remote in Wichita, KS and requires the ability to travel 25% of the time. If you are located in Wichita, KS or the surrounding cities, you will have the flexibility to work remotely* as you take on some tough challenges. Essential Job Functions: Educate providers to ensure they have the tools needed to meet quality, coding and documentation, and total medical cost goals per business development plans Develops strategies and create action plans that align provider pools and groups with company initiatives, goals, quality outcomes, program incentives, and patient care best practices Drive processes and improvement initiatives that directly impact revenue, HEDIS/STAR measures and quality metrics, coding and documentation process and educational improvements Conduct new provider orientations and ongoing education to provider and their staff on healthcare delivery products, health plan partnerships, processes, and tools Use and analyze data to identify trends, patterns and opportunities for the business and clients, and collaborating and/or participating in discussions with colleagues and business partners to identify potential root cause of issues Conduct provider meetings to share and discuss reporting data and analysis, issue resolution needs, implement escalation processes for discrepancies, and handles or ensures appropriate scheduling, agenda, and materials Collaborates with internal clinical services teams, alongside operational leaders, to monitor utilization trends to assist with developing strategic plans to improve performance Assists provider groups with investigating standard and non-standard requests and problems, to include claims and member support services Maintains effective support services by working effectively with the medical director, operations, and cross functional teams, and other departments Demonstrate understanding of providers' business goals and strategies in order to facilitate the analysis and resolution of their issues Performs all other related duties as assigned Primary Responsibilities: Solid analytical skills required to support, compile and report key information Drive processes that directly impact Revenue, HEDIS/STAR measures and Quality Metrics, and total cost of care, as appropriate Use data to identify trends,