Nomi Health

Account Manager

• Build and maintain strong relationships with TPAs, employer groups, brokers, and consultants to expand client adoption of Nomi products.
• Act as the primary post-go-live contact for assigned TPAs, employer groups, brokers, and consultants ensuring clear communication and proactive issue resolution.
• Conduct quarterly on-site meetings with TPAs, employer groups, brokers, and consultants to deepen relationships and identify growth opportunities.
• Organize monthly check-ins to assess what’s working, areas for improvement, and existing challenges where Nomi can add value.
• Provide on-site support for employer open enrollment (OE) events and other benefit engagements.
• Develop and execute strategies to upsell and cross-sell Nomi’s full suite of services, including Network, Analytics, PBM, and Payments.
• Analyze network gaps and opportunities to optimize service offerings in key client locations.
• Work closely with the banking and finance teams to ensure smooth payment processing and fund exchanges.
• Partner with sales, implementation, and marketing teams to enhance customer experience and streamline account management.
• Organize industry events (e.g., roundtable discussions, networking events) to foster collaboration between TPAs, employers, brokers, and consultants and other key stakeholders.
• Maintain relationships with existing Cost Containment Network (CCN) groups, working toward increased utilization and potential conversions to Full Replacement Network.
• Travel 35% of the time to visit clients, attend industry events, and strengthen partnerships.

Data Analyst

• We are seeking an experienced Senior Data Analyst with a strong background in healthcare claims, payer analytics, and reimbursement models.
• Analyze medical and pharmacy claims data to identify trends, cost drivers, and opportunities for optimization.
• Support provider contracting and payer negotiations by evaluating reimbursement models, pricing structures, and fee schedules.
• Develop financial models to assess payer performance, reimbursement strategies, and cost containment opportunities.
• Collaborate with sales and contracting teams to provide data-driven insights that support growth initiatives.
• Work with Medicare, Medicaid, and commercial claims data to track reimbursement trends and regulatory changes.
• Build reports and dashboards using SQL, Python, Power BI, or Tableau to visualize key business metrics.
• Evaluate the financial impact of alternative payment models, value-based care initiatives, and provider incentives.
• Ensure data integrity and accuracy in claims analysis to support strategic decision-making.
• Partner with internal teams to streamline claims processing, payment accuracy, and operational efficiencies.