Telligen

Account Manager

• You will develop and maintain strong relationships with key clients. Serve as the main conduit and expert between Telligen and client for contract deliverables, expansion or renewals, monitoring financials and profitability of accounts, client meetings or trainings, and involvement with client operations, and understands client’s operations, systems, environment, and business objectives.
• You will coordinate with operations to ensure services consistently meeting of clients’ needs. You will monitor and participate in solution development, and track progress with operational problem trends, informing and escalating issues to operational management as appropriate. You will coordinate and communicate client information to operations and provide and/or coordinate client education and training when needed, including leading or coordinating implementation teams for new business.
• You will manage client interactions and reporting holding scheduled and ad-hoc client meetings to ensure client needs are met and participate in management of satisfaction survey or client feedback process. You will deliver contracted client reports as required
• You will assist sales in prospect/partner/finalist presentations, as well as assisting with preparing proposals for new or current business and materials for upsells to current clients, in coordination with the Directors and others.
• You will monitor industry trends and provide early alert to management on pricing, services and benefit design trends. You will research and make recommendations for improvements and/or efficiencies to clients and management. As well as lead new program development when needed and perform miscellaneous duties as assigned.

Strategic Account Manager

Analyst

• Data Quality Evaluation: Assess data sets for Medicare/Medicaid populations on dimensions such as accuracy, completeness, and duplication. Identify and analyze the scope of data quality issues within Medicare/Medicaid claims data.
• Issue Resolution: Resolve data quality issues promptly and effectively. Develop and recommend procedures or best practices to prevent the reoccurrence of data quality issues.
• Data Management: Manage data within a relational database environment specific to Medicare/Medicaid populations. Ensure data integrity and maintain the database through complex data loads, queries, stored procedures, and processes.
• Data Analysis: Perform detailed analysis, including pattern analysis, of health care activities and projects related to Medicare/Medicaid populations. Utilize strong knowledge of Medicare/Medicaid claims data to inform analysis and recommendations.
• Collaboration and Support: Work collaboratively with cross-functional teams to support data-driven decision-making for Medicare/Medicaid healthcare quality programs. Provide assistance and guidance on data-related issues to team members and stakeholders.
• Performs miscellaneous duties as assigned.

Population Health Data Quality Analyst

• Assess data sets for Medicare/Medicaid populations on dimensions such as accuracy, completeness, and duplication.
• Identify and analyze the scope of data quality issues within Medicare/Medicaid claims data.
• Resolve data quality issues promptly and effectively.
• Develop and recommend procedures or best practices to prevent the reoccurrence.
• Manage data within a relational database environment specific to Medicare/Medicaid populations.
• Perform detailed analysis, including pattern analysis, of health care activities and projects.
• Work collaboratively with cross-functional teams to support data-driven decision-making for Medicare/Medicaid healthcare quality programs.

Manager

• Support Idaho Medicaid participants through complex medical case management, patient navigation, and care coordination.
• Develop individualized care plans that promote wellness, improve health outcomes, and reduce reliance on emergency services and inpatient care.
• Engage with members primarily by phone and email, collaborating closely with healthcare providers, community resources, and interdisciplinary teams.
• Evaluate treatment adherence and reassess patient commitment to necessary behavioral or lifestyle changes.

Case Manager – Registered Nurse, Licensed Master Social Worker

• Manage the day to day operations of health management lines of service and/or contracts/programs, with particular emphasis on case management programs and care coordination initiatives. You will lead a team in the creation of a strategic plan, implementation of plan, evaluation and ongoing management to ensure contract deliverables/program requirements and evaluation measures/metrics are met and/or exceeded within assigned funding/budget. When deliverables/requirements are at risk, you will facilitate analyses and initiate action plans.
• Develop and maintain relationships with team stakeholders. Provide technical assistance, including issue research and resolution. Develop and implement process improvement methods for an organization whose philosophy is continual improvement. Ensure operations are completed in a timely, satisfactory, compliant manner within assigned funding/budget.
• Participate in sales, business development and proposal work activities including development of concept papers, contributing content or review of proposals as a subject matter expert. Also have financial accountability for monitoring budgets and financials for assigned contracts.
• Coach, guide and direct team members to achieve individual, team and organizational objectives. Provide resources and support as needed to meet the departmental and Company goals and specific contract/program requirements.
• Represent the company and presents at meetings and/or conferences. Work externally with providers or clients as assigned. Make recommendations for improvements and/or efficiencies to management. Initiate opportunities to expand knowledge, skill development, and certifications which enhance quality improvement activities and the achievement of contract deliverables.
• Stay abreast of industry trends and changes. Perform miscellaneous duties as assigned.

Strategic Account Manager

Population Health Data Quality Analyst

Population Health Data Quality Analyst

Case Manager – Registered Nurse, Licensed Master Social Worker

Manager – Case Management, RN