Innovative Solutions Manager (Healthcare)

At MTM, we are not just colleagues; we are collaborators on a shared mission; communities without barriers. We have exciting opportunities to join our growing team where your work has a direct impact on the communities we serve. Our company culture is one of innovation, collaboration, and growth. If you are passionate, driven, and ready to join a team where your work will directly transform and shape our industry, then we want to talk to you!

What will your job look like?

The Innovative Solutions Manager (ISM) works closely with each Client, at executive levels, to create a partnership through expertise as a consultant, an advisor, an advocate, and a liaison. They proactively review performance metrics to promote Client satisfaction, profitability and retention using technology, tools, processes, and resources to anticipate and exceed Client needs and expectations. The ISM must understand their Clients' needs and organization objectives to effectively discuss product and service solutions.

This role supports campaign work for new products and market expansion in partnership with the Business Development team to ensure the needs of the Client are met and growth opportunities are at the forefront. The principle focus of the ISM is to secure a strategic partnership with the Client, ensure retention, and bring cross functional solutions to the table. Understanding the market dynamics, being an industry expert, and delivering strong consultative skills are key.  

This position is contingent on award of contract.

Location: South Carolina

What you'll do:

• Understand each health plan's key initiatives, market impact, and partnership opportunities for NEMT and other MTM services
• Manage the day to day Client relationships through comprehensive knowledge of Client protocols, both Client and MTM objectives, and operations
• Daily interaction with Clients, providing preventative consultation, analysis and issue resolution, responding in a timely, professional manner
• Responsible for timely and accurate management and execution of annual protocol review and submission of all protocol change requests
• Understand and monitor future goals and expansion of health plans
• Track, trend and analyze utilization data to provide Clients with additional opportunities to improve member compliance; identify opportunities for ancillary upsells and/or consultative services
• Work with the Accounting department to ensure accurate billing and timely AR collection
• Review and analyze member revenue and monthly summary report for trends and errors 
• Promote net profitability of all assigned accounts; working with internal analytics team as well as appropriate Client contacts to accomplish this
• Recognize opportunities to educate Client contacts and related member populations regarding benefits and/or MTM processes, when necessary
• Provide regular quality reports and consultative discussions
• Work with Business Development team to expand business opportunities with existing Clients (market and industry level)
• Maintain a good understanding of the managed care and non-emergency transportation industry rules, regulations and climate
• Prepare for, coordinate and conduct quarterly in-service with each Client
• Ensure the right audience is at the table for quarterly or monthly meetings to discuss organizational objectives and look for opportunities to offer value enhancing products, services and/or strategic solutions 
• Participate in ongoing training offered through MTM, CMS or health plan associations to strengthen knowledge base
• Understand MTM's business plan objectives and the impact of this role in growing our business 
• Learn and understand all aspects of the plan, benefit parameters, contract, and growth opportunities
• Disseminate educational material to clients as needed
• Inform clients of new items relating to the NEMT industry and/or MTM services
• Present annual plan reviews and work in consultative manner with clients

What you'll need:

Experience, Education & Certifications:

• High School Diploma or G.E.D. equivalent
• Bachelor's degree in business administration, health care or equivalent work experience
• 2-5 years of experience in an Account Management role within the healthcare industry required, 5 years strongly preferred
• Working knowledge of financials
• Must possess a valid driver's license

Skills:

• Excellent communication skills
• Excellent interpersonal skills and ability to work with a people at all job levels
• Influencing and negotiation skills
• Market awareness
• In-depth knowledge of MTM operations, contracting, and Quality Assurance
• Ability to schedule, organize, and prioritize multiple tasks
• Ability to analyze utilization data to provide solutions and recommendations
• Knowledge of budgets, cost analysis and plan financial statements
• Ability to handle questions and resolve issues in a timely and constructive manner
• Moderate to advanced computer skills
• Ability to demonstrate a proactive attitude and initiative
• Must be able to work under pressure, be a self-starter, and demonstrate behavior that indicates drive and flexibility
• Possess in-depth knowledge of MTM transportation guidelines and vendor programs
• Ability to maintain high level of confidentiality
• Regular attendance is required

Even better if you have...

• Previous Quality Management experience, preferred
• Previous Health Care experience, preferred
• Previous member advocacy experience, preferred

What's in it for you:

• Health and Life Insurance Plans
• Dental and Vision Plans
• 401(k) with a company match
• Paid Time Off and Holiday Pay

• Maternity/Paternity Leave
• Casual Dress Environment
• Tuition Reimbursement
• MTM Perks Discount Program
• Leadership Mentoring Opportunities

Salary Min: $55,920

Salary Max: $69,900

This information reflects the base salary pay range for this job based on current national market data. Ranges may vary based on the job's location. We offer competitive pay that varies based on individual skills, experience, and other relevant factors. We encourage you to apply to positions that you are interested in and for which you believe you are qualified. To learn more, you are welcome to discuss this with us as you move through the selection process.

Equal Opportunity Employer: MTM is an equal opportunity employer.  MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local, State, and Federal law.  If you are in need of accommodations, please contact MTM's People & Culture.

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