Medicare Advantage Account Manager - Longevity Health Plan

Position Overview: Longevity Health is seeking a dynamic Medicare Advantage Account Manager for a field-based role, reporting directly to the Market Vice President. This role is crucial in supporting member care and managing relationships with Skilled Nursing Facilities (SNFs). The successful candidate will coordinate care, meet enrollment goals, and ensure high-quality, patient-centered care for our I-SNP members.

Key Responsibilities:

• Facility Coordination: Oversee plan functions for assigned SNFs, ensuring high-quality and cost-effective care in collaboration with facility staff and management.
• Primary Contact: Act as the main liaison between facilities and Longevity Health, collaborating with facility management to ensure quality services and effective plan administration.
• Regular Visits: Conduct at least monthly visits to assigned SNFs to maintain effective communication and address any issues.
• Contract Management: Manage SNF contractual relationships, ensuring accurate administration of contract terms and leading multidisciplinary teams.
• Operational Issue Resolution: Identify and resolve operational issues to maintain positive long-term relationships.
• Data Review & Reporting: Perform monthly data reviews, present educational topics, and manage communications related to HEDIS reporting and other audits.
• Sales & Enrollment: Achieve monthly enrollment goals through lead generation, referral development, and sales presentations. Work with the Market VP to develop and execute facility-specific strategies.
• Provider Relations: Support contracting efforts and build relationships with key providers, including IPAs, hospitals, and specialty services.
• Program Implementation: Oversee I-SNP program implementation in facilities, ensuring compliance and readiness for launch.
• Documentation & Compliance: Maintain accurate member records, comply with State and Federal regulations, and uphold high workplace behavior standards.

Qualifications:

• Education: Bachelor’s degree required.
• Experience: Minimum of 3 years in the healthcare industry focusing on provider relations, contracting, and business development; at least 2 years of sales experience preferred.
• Skills: Strong communication and presentation skills, project management and coordination abilities, and a solid understanding of managed care and contractual arrangements.
• Licensing: Health Insurance Producer License (or ability to obtain within 60 days). Valid state driver’s license and proof of auto insurance required.
• Other: Proficiency in Microsoft Office Suite, willingness to travel within the assigned territory, and comfort working in a Skilled Nursing Home environment.

What We Offer:

• Competitive salary with performance-based incentives.
• Comprehensive benefits package, including health, dental, and vision insurance.
• Professional development opportunities and a supportive work environment.
• An opportunity to make a meaningful impact in the lives of long-term care beneficiaries.

Company Overview:

Longevity Health is a clinical services company and national Institutional Special Needs Plan (ISNP) founded with the purpose of optimizing the quality of life for people in long-term care by focusing on their individualized health needs.

Launched in 2018, our ISNP was designed to address the significant unmet needs of nursing home residents by establishing collaborative, value-based partnerships with long-term care facilities.

Between 2018 and 2022, we experienced rapid growth and expanded our ISNP offerings across several states, including Colorado, Florida, Illinois, Michigan, New Jersey, New York, and North Carolina. In 2023, we diversified our services by launching as an Independent Provider Association (IPA) in collaboration with leading national health insurers. This model is now available in Ohio, Pennsylvania, upstate New York, Georgia, South Carolina, Virginia, and Texas, with plans to expand into additional states.

These strategic partnerships allow us to deliver an elevated level of care to this vulnerable population. We are currently active in 13 markets and continue to see steady growth.

Purpose: The individual holding this position is required to support and demonstrate their commitment to the Longevity Health & LiveWell Choice Statement of Purpose, which is: To optimize the quality of life of people in long-term care by focusing on their individualized health needs through collaborative value-based solutions.

Company Disclaimers:

Longevity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.

It is the policy of Longevity Health to follow Federal and / or State regulations surrounding COVID vaccinations.  While CMS guidelines have been relaxed, there are some LHP facilities which will still require staff be vaccinated in an effort to protect the health of the members / patients we serve.  If your assigned location(s) require all staff to be fully vaccinated, you are required to obtain and / or provide documentation related to your COVID vaccination.  To confirm whether your assigned location(s) require COVID vaccinations, please refer to the Facility Guide Job Aid located on Longevity Health Plan’s intranet site. 

The Company will engage in an interactive process with individuals who cannot be vaccinated for medical or sincerely held religious beliefs to determine if a reasonable accommodation can be made. While an exemption/accommodation may be initially granted, if at any time during employment, it is determined that an exemption/accommodation that has been granted is no longer considered a reasonable accommodation, it can result in employment with the Company ending.

Candidates must meet the Company’s hiring criteria which include a pre-employment background and drug screening.

Longevity Health offers a competitive compensation and benefits package which includes medical, dental, vision, short and long-term disability, life insurance, and 401(k).

Submission of false information during the application process may result in immediate termination of employment without notice.