Remote Position
Account Manager, ACOs, Medicare Supplement
🌍 Remote · United States
💼 Full-time
Job Description:
- Serve as the primary account owner for assigned ACO and MediGap carrier partners from post-implementation through steady state
- Build trusted relationships with ACO leadership, operations teams, clinical leaders, care management staff, and MediGap carrier product, compliance, and member services teams
- Understand and communicate GUIDE Model workflows to ACO care teams
- Help MediGap carriers operationalize Ceresti’s program for their member populations
- Act as Ceresti’s internal liaison for each partner and address partner needs, constraints, and priorities
- Support contract adherence, shared savings alignment, GUIDE Model performance targets, and partnership health
- Own enrollment performance, including referral flow, member outreach, program utilization, outreach effectiveness, and caregiver activation
- Improve uptake through provider education, workflow refinement, targeted engagement, carrier marketing integration, and member communications
- Drive physician awareness and buy-in across assigned ACO networks
- Enable carrier member services teams to support GUIDE Model enrollment and workflows
- Coordinate patient-, provider-, and carrier-facing materials, training, and communications
- Build trust and governance alignment for proactive outreach to eligible beneficiaries
- Own approvals, workflows, and communication protocols for proactive enrollment
- Coordinate with Implementation, GUIDE Coordinators, Coaching, and Operations teams
- Support CCLF data file refreshes, carrier eligibility file exchanges, data-sharing workflows, and outreach approvals
- Monitor operational SLAs, outreach cadence, member experience, compliance, enrollment, engagement, outcomes, and operational performance
- Lead recurring partner check-ins and business reviews
- Deliver data-driven updates and executive-ready insights to ACO and MediGap carrier stakeholders
Requirements:
- Bachelor’s degree in a related field
- 5+ years of experience in account management, client success, provider relations, carrier/payer relations, or partnership management within healthcare
- Experience working with ACOs, Medicare Advantage plans, Medicare Supplement (MediGap) carriers, or value-based care organizations
- Direct experience with MediGap carriers, CMS care model delivery, or carrier product and operations teams is strongly valued
- Strong understanding of healthcare operations, provider workflows, and population health models
- Proven ability to manage complex, multi-stakeholder relationships
- Exceptional communication, organization, and follow-through skills
- Exceptional problem-solving skills
- Experience supporting CMS models such as GUIDE, MSSP, or ACO REACH
- Familiarity with caregiver support, dementia care, home care, or care management models
- Experience managing carrier or health plan accounts, including CMS model implementation, member engagement, or GUIDE-adjacent program delivery
- Experience presenting performance data and outcomes to executive audiences
- Comfort working in a high-growth, fast-moving startup environment
- Experience with HubSpot is a plus
Benefits:
- Full benefits
- Remote-first environment
- Competitive compensation