Cedar Gate Technologies

Client Services Representative

• Serve as a business leader and process expert within the Value-Based Care Operations team
• Ensure successful design, documentation, and configuration of new bundles and their associated claims workflows
• Translate process updates and refine strategies for a smooth transition to claims administration
• Create use cases for all testing phases related to new value-based clients
• Execute regression testing and user acceptance testing, working with claims staff
• Lead new initiatives for operating new value-based arrangements by collaborating with Product and Development teams throughout the software development life cycle
• Enhance and create claims-related tools to empower operational staff for efficient and effective usage in daily tasks

Senior Client Services Representative – Healthcare Ops

Manager

• Develop and implement network growth and optimization strategies for portfolio clients
• Serve as the primary point of contact with network providers
• Present and interpret provider performance data to educate and provide actionable insights
• Work closely with Department leaders to support and implement high-quality, data-driven insights and improve program performance
• Drive communication and collaboration to ensure client satisfaction in a highly matrixed environment
• Facilitate regular, executive-level meetings focused on client needs and objectives
• Organize and drive the successful completion of data insight initiatives through effective collaboration with stakeholders.

Client Performance Manager

• Triage and respond to incoming client support requests
• Coordinate with Product and Data Management teams on issues that require resolution and communicate updates to client
• Support the Account Management team by tracking, escalating, and resolving both general and client-specific issues
• Develop action plans around incoming client inquiries, responding to client requests, and escalating issues
• Own, track, report, and manage support SLAs and ensure delivery against requirements and company goals