Back

Created	05/14/2024
Reference	240829793
Country	United States
State	Washington
City	Bellevue
Zip	98004
Salary	-
Edifecs Customer Program Manager Overview We are seeking a passionate and experienced Customer Program Manager to join our team and play a crucial role in ensuring our customers achieve long-term success with Edifecs products. The ideal candidate will leverage their operational knowledge and subject matter expertise on processing data through various systems, recognizing revenue and audit regulations, and technical expertise in all risk adjustment areas to guide customers towards maximizing their business value and maximizing Edifecs' footprint in the healthcare payer space. What you will do: Develop, implement, and complete tactical project plans related to customer issue resolution, quality improvement plans, and program enhancements. Act as the lead relationship manager for assigned accounts, coordinating proactive customer communication. Lead customers to success by understanding their business needs and proactively aligning Edifecs' software and services with those needs to generate outstanding results. Partner with Account and Product Management on Customer Health, NPS, Executive Business Reviews (EBRs), Expansion, and Renewals by hitting assigned metrics. Forecast and track key metrics, including revenue numbers, member counts, and relevant risk adjustment metrics. Track and manage product-related issues that impact customer success and go-live dates.. Utilize your operational knowledge to recognize revenue and audit regulations to ensure accurate and compliant business practices. Leverage your technical expertise in all risk adjustment areas to provide valuable insights and support to customers in this critical area. Provide education and expertise to a customer as a guidance and best practices to help guiding customers to success with better known guardrails or compliance suggestions. Responsible for communicating customer enhancement requests via a feedback loop to the Product Management team. Ensure all contracted deliverables are provided according to the contract, on time, and meet and exceed customer expectations. What you will bring : Bachelor's degree and a minimum of 5 years of relevant experience Operational knowledge on processing data through various systems, recognizing revenue and audit regulations, and technical expertise in all risk adjustment areas - Various levels of experience in the payer or risk-bearing provider space Understanding of the Medicare Advantage, Medicaid, ACA lines of business in a Payer organization Fluent in Software as a Service (SaaS) distribution models Experience in healthcare or related field Solid organizational skills, including attention to detail and multi-tasking abilities Strong working knowledge of Microsoft Office, Freshdesk, and Jira Experience (certification is a plus) with project management and knowledge of standard methodologies like Agile, Waterfall Note: Theexpectedbase pay range for this positionis $95,939 - $131,916 per year. Base pay offered may vary depending on location, job-related knowledge, education, and experience.We are pleased to offer our associates a comprehensivewell-beingplan.Our offerings include medical, dental, vision, life,and disability insurance, a401(k)-retirementsavings plan including anEdifecsmatching contribution,and up to 25 days of PTO and 10 holidays per year.More information on these and additionalwell-being offerings can be found here . About Edifecs Edifecs is a premier technology company in the U.S. Healthcare market with solutions focused on interoperability, workflows, risk adjustment, value-based care payments, and analytics.Edifecssolutions are used by leading healthcare entities including, payers, providers, employers,third-partyadministrators, and government agencies. With innovative technology and solutions,Edifecshelps its customers by optimizing the secure exchange and processing of administrative and clinical data, reducing the cost of complying with regulations, and automating workflows involved in multiple core processes within the healthcare ecosystem.Edifecsis a frontrunner in providing solutions for B2B data exchange, streamlining key workflows in areas such as enrollment, risk adjustment, and alternative payment models. With the advent of FHIR and new regulatory guidance from HHS,Edifecshas emerged as a leader in easing the effort associated withachieving compliance with new federal rules and in making the healthcare consumer the primary stakeholder.Edifecssolutions are offered in bothOn-Premiseand SaaS models. The company is headquartered in Bellevue, Washington, with additional offices in Atlanta, Georgia,and Mohali, India, an engineering center in Moldova, and has more than 700 employees. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or another legally protected status. Edifecs will provide reasonable accommodation to individuals with disabilities who need assistance applying for a job. Please contact careers@edifecs.com for more information. PI240829793
Employer	Edifecs

Customer Program Manager, Bellevue, Washington

Browse similar jobs

Get New Jobs By E-Mail