Medi Assist - Assistant Vice President - Account Management

About Medi Assist:

- Medi Assist is the preferred health benefits administrator for some of the biggest corporates across the country. As a company our aim is to constantly work towards building a simplified healthcare experience for insurers, corporates, hospitals and members.

- Medi Assist offers a range of wellness programs and value added services to corporate employees and individuals along with health benefits administration services including cashless claims management, reimbursements, pharmacy benefits, planned hospitalization and more.

- With more than 15 years of experience in the healthcare sector, we are trusted by over 7,600 corporates across the country. Our robust technology and industry expertise followed by excellent service delivery models to retail and corporate policy holders make us one of the leaders of the wellness sector in the country.

- Our service models ensure that we work with and help various stakeholders including - policy holders, insurance agents, outpatient servicing networks, members to manage a diverse healthcare portfolio.

- Our robust and seamless technology provides the right backbone to manage these healthcare portfolios efficiently in a most cost-effective manner.

We have partnered with over 29 Insurers and touch more than 10 Million lives with our wellness programs and value-added services.

Services we offer:

- Comprehensive healthcare management

- Healthcare benefits administration

- Provider contracting

- Benefits portfolio management

Job Description:

As a Assistant Vice President of Account Management, the candidate will be responsible for implementing strategic relationships with customers and ensuring smooth transition of accounts and meeting the committed SLAs. They will coordinate with various departments internally and externally to maintain customer satisfaction and achieve said business goals.

Financial & Cost-Control Management:

1. The candidate will ensure that revenue goals are met and healthcare services are administered as and when required

2. The candidate will also be held responsible to ensure Loss control management wrt to the accounts

3. Will be responsible for constantly reviewing and understanding customer contracts through risk management activities including assurance of SLA reviews on a regular basis, assurance of claim accuracy and ensuring all escalations from the members are addressed

4. Ensuring claims accuracy payment and administrative policies, rate maximization through ongoing benefit analysis and adherence to requirements of the accounts legal and regulatory environment.

5. Develops and maintains contract compliance tool(s) for periodic assessment of company performance to customer requirements (including performance standards, etc.).

Customer Interaction and Service Delivery:

1. Will be responsible for overall CSAT for all accounts in the assigned region.

2. Develop and maintain a strong relationship with all key stakeholders for each customer.

3. Mentors and helps the account management team handle and resolve escalations raised by members.

4. Develops strong relationships with key departments within the organization to ensure smooth flow of your goals.

5. Maintains good relations with key customer stakeholders which can in turn lead to annual account retention and growth.

6. Ensures timely delivery of customer facing services by coordinating with teams internally.

7. Works closely with the claims and provider teams to resolve escalated issues in services.

Gauging New Opportunities:

1. Work closely with peers from the account management team to understand the current gaps and how services can be made better.

2. Closely monitoring competition and seeking opportunities that are missed which can help while onboarding new customers - this can be for business renewals, negotiating rates and renewing policies.

3. Speak to the customer on a regular basis to understand the product requirements and how we can bridge these gaps.

4. Work closely with the partnerships & marketing team in building solutions for newer customers.

5. Works towards gaining in depth knowledge of the companys products and services.

Team Management:

1. Helps teams grow their inter-personal skills as well soft skills that can lead to better achievement of business goals.

2. Mentor the team members on best practices and processes that can be followed to understand the current scenarios better and pave a way for them.

3. Help them become more proactive and passionate about their goals by encouraging, motivating and recognizing them on a regular basis.

Qualifications were looking for:

- The successful candidate must be an experienced relationship developer with a keen entrepreneurial spirit, who can passionately embody Medi Assists vision.

- We, at Medi Assist, are seeking a seasoned professional who knows the ins and outs of the insurance/TPA industry and is willing to take our business to the next level. Has the capability to drive newer markets and ensure that our customers above all are happy and delighted with what we have to offer.

- Must be energetic, convincing and confident with an ability to earn and retain a seat at the table while effectively facilitating forward-thinking discussions with key leaders of our organisation as well as customers.

- Has hands-on experience in planning and process setting while ensuring that the team's core focus remains on customer objectives. A strong, ambitious ability to push the company towards a higher degree of achievement and has the innate ability of communicating optimism and trust to team members.

1. Demonstrates creative, cost-effective solutions to situations associated with a rapidly changing industry

2. Defines and communicates a long-term vision and strategy to achieve desired outcomes.

3. Generates excitement about the organization and people to strive for excellence.

- Improvises when things break down or go wrong. Displays focus and patience in the midst of ambiguity resulting from change.

4. Provides feedback to others in productive, non-judgmental fashion. Gains respect from others and has credibility and vision.

Abilities that must have:

1. 8-12+ years of experience in the healthcare/insurance/TPA industry with a background in account management or sales

2. 8+ years of experience managing a team

3. Excellent industry knowledge with good contacts in the industry

4. Solid personal computing skills and comfort with new technologies

5. Team mentoring skills and demonstrated ability as a leader

6. Excellent communication and interpersonal skills

7. Has demonstrated quantifiable results in previous roles

8. Has a knack to problem solving and must be detail oriented

9. Solid organizational, management, administrative and human relations skills in a style that exhibits maturity, leadership, sensitivity and teamwork.