Client Success Manager – Value Based Care

This is a fully remote position, open to applicants in California.

📋 Description

• The Client Success Manager is tasked with establishing and nurturing robust and enduring partnerships with clients and broker/consultants for assigned accounts.

• This position involves strategic and proactive planning within the client’s business operations, focusing on identifying and implementing opportunities to engage employees and members, ultimately enhancing clinical outcomes and achieving cost savings.

• Act as a trusted advisor by utilizing claims data, insights on value-based care, and performance analytics to illustrate return on investment (ROI) and steer clients towards strategies that enhance health results and reduce total care costs.

• Achieve this through timely and proactive issue resolution, advising clients on best practices, assessing service/product offerings, suggesting innovative solutions, and providing market intelligence.

• Cultivate a profound understanding and interest in population health and healthcare utilization metrics, including trends in medical and pharmacy claims, with the capability to articulate findings and transform insights into actionable strategies for clients.

• Use claims data and value-based care indicators to pinpoint care gaps, recognize high-cost utilization patterns, and identify opportunities for enhanced clinical interventions and cost management.

• Advise clients on the principles of value-based care, assisting them in comprehending how investing in primary care can mitigate downstream claims expenses and elevate overall plan performance.

⛳️ Requirements

• A Bachelor’s degree in business or healthcare administration along with 5 or more years of relevant experience in healthcare operations or account/client management, or a suitable combination of education and experience.

• Demonstrated success in managing clients with intricate needs and elevated expectations.

• Ability to influence stakeholders across all organizational levels.

• Experience and understanding of the Tart-Hartley and union settings.

• Strong proficiency in healthcare data analytics, claims analysis, value-based care frameworks, performance guarantee structures, and the alignment of operational and clinical efforts.

• Proven experience in creating and delivering presentations, including claims analyses and summaries of value-based care performance.

• Familiarity with medical and pharmacy claims data, cost determinants, and methodologies for total cost of care.

• Understanding of value-based care models, risk stratification, and reporting on quality measures (e.g., HEDIS, care gap closure).

• Direct experience collaborating with risk-based, value-based, or alternative payment models, including PEPM structures, cost-plus agreements, outcome-based pricing, or shared-risk frameworks.

• Strong skills in project management, account portfolio planning, and prioritization.

🏝️ Benefits

• Comprehensive Health & Wellness Benefits: Choice of 2 medical plans, 2 dental plans, and vision coverage, unlimited free mental health resources, and EAP services, plus rewards for engaging in challenges and healthy lifestyle activities.

• Family-Friendly & Reproductive Health Benefits: Includes family-building and hormonal health benefits as well as paid parental leave.

• Time-Based Benefits: Generous paid time off (PTO) or flexible time off (FTO), paid holidays, and an additional day for personal matters.

• Financial Support: Company-paid basic life and disability insurance, supplemental life insurance, spending accounts, and a 401(k) plan with employer matching and graded vesting.

• Continuing Medical Education (CME) opportunities to maintain and enhance the knowledge, skills, and expertise of our health center team members, as applicable.