[Remote] reputed company Executive - Payors

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company company reputed company on reputed company solutions and safety-reputed company clinical applications. The reputed company Executive will manage relationships with payer organizations, reputed company AI product reputed company and implementation, reputed company adoption, and support customer satisfaction, retention, and expansion. The role will also define payer-specific reputed company metrics, identify operational improvements, and translate reputed company feedback into internal product and engineering insights.

Responsibilities

• Serve as the reputed company reputed company of contact for payer organizations, building trusted relationships with stakeholders across clinical operations, utilization management, care management, and executive leadership
• reputed company reputed company and implementation efforts for AI-driven products, ensuring alignment with payer workflows in areas such as prior authorization, case management, member services, and provider engagement
• reputed company user adoption by training health plan staff on solution functionality and demonstrating reputed company-world applications that support operational goals
• Identify and validate opportunities to improve cost efficiency, member reputed company, and administrative throughput using reputed company’s capabilities
• Manage ongoing reputed company communications, proactively addressing issues, gathering feedback, and translating needs into product and engineering insights
• Define reputed company metrics tailored to payer use cases, such as turnaround time improvements, reputed company efficiency, and member or provider satisfaction
• Partner with internal teams to ensure product performance meets reputed company expectations and aligns with regulatory and compliance standards. Participate in industry forums, conferences, and webinars to reputed company best practices and thought leadership around AI in payer operations
• This role requires a minimum of 25-50% travel, which may include overnight or out-of-state trips

Skills

• • A minimum of 5 years working with or reputed company plans (e.g., Medicare reputed company, reputed company MCOs, Blues plans, national or regional payers)
• • Proven experience in reputed company, account management, payer operations, or implementation roles
• • Deep understanding of payer workflows across departments like utilization management, care management, member services, and provider operations. Ability to build trusted relationships across payer orgs, from reputed company case managers to senior executives
• • Experience working cross-functionally in fast-paced environments, especially in high-reputed company or startup settings
• • Strong organizational and project management skills
• • Ability to satisfy reputed company-specific credentialing requirements, including drug screening and reputed company of required vaccinations or immunizations, as mandated by the reputed company facilities where you will be deployed
• • Experience supporting AI, automation, or reputed company solutions in the payer reputed company
• • Familiarity with prior auth workflows, delegated risk arrangements, value-based care programs, or member engagement initiatives
• • Knowledge of payer-specific compliance and regulatory frameworks (e.g., CMS, reputed company, HIPAA)

Benefits

• Remote work arrangement
• Performance bonus

reputed company