Health Plan Account Director Sr

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Health Plan Account Director Sr - Remote

**Job Description**:
The Sr Health Plan Account Director leads the development and execution of strategic plans for health plans or select services and Direct to Employer (DTE) groups and will be assigned as the LOB expert across one or more health plans. This position establishes and maintains relationships with client decision-makers, industry consultants, health-plan account and sales divisions, and Prime’s functional areas to enhance collaboration, and ensure delivery of exceptional service. As necessary, this position will oversee a cross-functional account management team, with representation across all lines of business, and key departments such as clinical, trade, and finance to ensure strategic alignment and execution.

**Responsibilities**:

- Serve as relationship and contract owner, advocate and point of escalation for assigned account/s; leverage an intimate understanding of the industry, client market trends, challenges, and priorities, and the demand for new products/services in the market, as well as Prime’s strategic and growth objectives to lead the development and deployment of client strategic plans; collaborate with Prime and Client leadership to advocate for products and capabilities that support mutual growth and enable market competitive solutions; solicit client feedback related to products, financials and contracts and establish an internal framework to respond to suggestions or inquiries
- Lead client meetings as aligned to the account management principles, including but not limited to: identifying meeting objectives and participants, ensuring adequate preparation and presentation materials, disseminating and uploading meeting materials in client portal, and working across extended teams to ensure appropriate follow through and documentation; document interactions with assigned client/s and input into the Salesforce CRM tool and client portal, including but not limited to meeting agendas and notes, identified dependencies or risks, key decision points and outcomes, and any next steps, agreed actions and responsibly parties
- Monitor and report on key performance indicators and dashboards that evaluate Prime’s performance against assigned client contracts; populate joint scorecards and other reporting tools (i.e. Salesforce) to track client relationships, product adoption and retention metrics, and proactively respond to, and remediate any identified gaps or risks; understand nuances across lines of business or assigned client/s and identify further opportunity to drive consistency and improvement
- Lead the development, negotiation and compliance of client contracts; proactively analyze contract language and/or requirements and collaborate with internal stakeholders to implement a renewal action plan, standardize contract language where appropriate, and mitigate conflicting terms; review and manage Performance Guarantees and/or Financial Guarantees on behalf of Prime and the client(s) to minimize financial risk
- Partner with employer market sales and account management teams on go-to-market pull through
- Provide cross functional leadership to an extended Account Management team, with representation, expertise and dedicated support for market/line of business-specific client needs; collaborate with cross-functional leaders to identify and implement collaborative, performance objectives across all client facing teams; ensure clear lines of accountability and expectations between client engagement and extended client team members; lead efforts to align interactions with strategic and operational objectives that identify, develop, expand and retain key client relationships
- Identify key relationships necessary to deliver core and expanded capabilities, drive growth, and ensure market competitiveness, including but not limited to: executive sponsors, Blue Cross Blue Shield (BCBS) plans, national benefits consultants, ensure account management team maintains effective LOB (Line of Business) knowledge and expertise via industry channels, conferences, continuing education etc; demonstrate thorough understanding and commitment to compliance requirements and influence the alignment, prioritization, design and implementation of outcomes and services
- May manage staffing, performance and development of a small client engagement team; will consistently demonstrate Prime’s leadership and employee expectations during interactions with direct reports (if applicable), cross functional and external stakeholders; directly or indirectly establish account management goals and priorities for the extended client teams
- Other duties as assigned

Minimum Qualifications
- Bachelor’s degree in Finance, Business, Health Care Administration, or related area of