The Operations Admintrator (OA)develops and strengthens client relationships, provides quality service, and addresses and solves client problems/issues. OA 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 OA 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.
$ads={1}
Key Responsibilities:
- Foster and grow client relationships in partnership with Operations Managers
- Develop relationships with brokers, consultants, and vendors in partnership with Operations Managers
- Develop strategy and framework to collaboratively engage clients in creating joint solutions that delivers on strategy
- Responsible for book of business management up to $1M
- Leads development and implementation with OM’s on new client schedules, programs and goals
- Administers eligibility, schedules, and health and wellness center programs
- Analyzes client concerns and leads resolutions of open Client Action Log items, ensuring collaboration with clients, team members and stakeholders.
- Oversight of operational dashboard metrics in partnership with Health Center Manager
- Data analytics, identifying variance, trends, and opportunities for business and development
- Responsible for 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
- Initiation of client Amendments following KIS process
- Manage client eligibility file and monitor for changes/errors that may impact business
- Responsible for partnering with Health Center Manager on plans to achieve operational performance guarantees and utilization goals for the health center
- Responsible for meeting 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:
- Ability to make sound and logical judgments as it pertains to budgets, contracting, negotiating and communicating with clients
- Strong interpersonal, written, and oral communication skills
- Ability to facilitate discussion and collaborate with teams
- Detail oriented
- Understands health and wellness center operations and is able to execute strategies, budgets and execute deliverables
- Understands industry and healthcare trends to set 1/3/5-year key account plans for client