Licensed Account Manager

Job Summary: Longevity offers an integrated health plan care management platform designed to improve clinical outcomes and reduce unnecessary medical interventions for long-term care beneficiaries living in skilled nursing facilities (SNFs).

We offer Institutional Special Needs Plans (I-SNP) that are designated Medicare Advantage plans targeted to beneficiaries with Medicare part A & B who require long-term care in institutional settings.

Longevity provides an advanced practice practitioner (NP or PA) supported by LHP RNs and other LHP Clinical team members to work with facility staff, physicians, and caregivers to manage member care in place, and improve their clinical outcomes.

I-SNP and the Advanced Practitioner Provider/Clinical Team will improve resident and family satisfaction by providing enhanced benefits specifically tailored to the needs of facility residents.

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 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 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.

Key Tasks and Responsibilities: 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 ...