Contract Manager, Dental Program - Florida

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The Contract Manager will develop and maintain business relationships with the State agencies, working under the guidance of the Executive Director to achieve key objectives. This role is central to creating and executing strategies tailored to maintaining and expanding client-specific business. The ideal candidate will have five or more years of account management experience in a managed healthcare setting, preferably within Medicaid and Medicare Advantage, with a focus on dental services. This is a fully remote position that requires this person to reside in the State of the contract.

The Government Account Management Department is dedicated to overseeing and nurturing relationships with Managed Care Organizations (MCOs) and State contracts. This department plays a pivotal role in ensuring the successful execution and management of government-related healthcare programs, with a focus on Medicaid, Medicare Advantage, and other state-funded initiatives.

Our team is responsible for managing day-to-day interactions with MCOs and state agencies, ensuring compliance with contractual obligations, and driving strategic initiatives that align with both client and organizational goals. By closely collaborating with internal departments and external partners, we work to deliver exceptional service, support program implementation, and ensure that our solutions meet the evolving needs of the populations we serve.

The Government Account Management Department is committed to maintaining strong, transparent, and effective partnerships that support the mission of providing high-quality healthcare services through government-sponsored programs.

• Build and maintain collaborative relationships with key stakeholders, including the Executive Director, State Dental Director, and Network Director, to support the successful management of the Medicaid State Dental program.
• Serve as the primary point of contact for state agencies and ensure timely and effective responses to all contractual and program-related inquiries.
• Oversee contract compliance by regularly reviewing agreements and ensuring all deliverables align with state regulations and program requirements.
• Lead client and stakeholder meetings to discuss program performance, contract updates, and evolving state guidelines.
• Collaborate with internal teams to develop presentations and materials for state meetings, ensuring alignment with Medicaid and state dental requirements.
• Conduct regular in-person and virtual meetings with state officials to provide updates on program performance and adapt to shifting market or regulatory dynamics.
• Work closely with the Network Director to develop strategies that address provider network adequacy, compliance, and any contractual obligations related to access to care.
• Coordinate with internal departments to improve program quality, including HEDIS, Stars, or other Medicaid-specific metrics, and adjust costs as needed.
• Facilitate internal meetings to discuss contract status, program deliverables, and strategic initiatives.
• Review and monitor monthly program financials, reporting key insights, trends, and any areas of concern to the Executive Director.
• Manage contract amendments and revisions, ensuring alignment with Medicaid guidelines and the specific needs of the State Dental program.
• Partner with the Implementation team to ensure the seamless execution of new policies, benefit changes, and any program expansions.
• Maintain ongoing communication with state Medicaid officials to ensure high levels of satisfaction and timely delivery of program expectations.
• Provide regular reports to the Executive Director and leadership team, tracking contract performance and key account activities.
• Identify and analyze trends or changes in the Medicaid dental landscape and communicate potential impacts to the leadership team.
• Develop an annual strategic plan for the Medicaid State Dental program and collaborate with the State Dental Director to continuously assess and adjust the plan throughout the year.
• Collaborate with Business Development and other internal teams on any opportunities to expand services or programs within the Medicaid contract.
• Take on additional responsibilities and special projects as needed or directed by the Executive Director.

Functional Competencies:

Administrative and Operational Support

• Demonstrates proficiency in providing high-level administrative support to Account Executives and Strategic Client Partners, ensuring seamless coordination of meetings, follow-up actions, and documentation. Manages tasks efficiently to support multi-level account relations.

Meeting and Project Coordination

• Effectively coordinates, manages, and participates in internal and external meetings, ensuring all necessary follow-up actions are completed. Demonstrates the ability to manage deliverables and maintain organized records such as meeting minutes.

Interdepartmental Collaboration

• Shows strong collaboration skills by working closely with various internal departments to ensure client updates are accurately implemented. Maintains quality oversight and ensures all client requests are fulfilled to their satisfaction.

Reporting and Data Management

• Exhibits strong attention to detail in reviewing and analyzing monthly, quarterly, and annual reports. Identifies discrepancies and ensures the accuracy of data, taking corrective actions when necessary.

Strategic Insight and Continuous Improvement

• Capable of identifying key insights from client accounts and market trends, providing valuable input to Account Executives and Strategic Client Partners. Continuously assesses and recommends improvements to enhance operational efficiency and account management effectiveness.

Core Competencies:

• Strong written and oral communication skills are required
• Results oriented individual with demonstrated experience balancing multiple tasks and priorities
• Applicant must be self-motivated, detail-oriented and possess the ability to work well with others under pressure
• Computer Skills: Proven proficiency with Microsoft Word, Excel, and PowerPoint software
• Knowledge: Experience in managed care or health care field, government, and commercial account management a plus. Overall account management experience considered.
• Demonstrates a sense of urgency, Deep understanding of commercial processes, techniques, and tools.

Behavioral Competencies:

• Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth. 
• Initiative: readiness to lead or take action to achieve goals.
• Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.
• Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.
• Detail-oriented and thorough: managing and completing details of assignments without too much oversight.
• Flexible and responsive: managing new demands, changes, and situations.
• Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.
• Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.
• Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.
• Proactive problem-solving approach to address challenges
• Proven ability to collaborate with internal departments, external partners, vendors, and suppliers.

Minimum Qualifications:

• Required to live in the State of Florida, per contract
• Education: College degree preferred; High School Diploma required
• Experience: A minimum of two (2) years’ experience working in a capacity demonstrating the job requirements as listed above
• Two years of experience presenting data verbally and in writing to senior level staff relaying accurate data with the ability influence required.
• Ability to travel (15%)
• As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient.

Preferred Qualifications:

• 5 years experience in Account Management, client services and healthcare preferred

FLSA Status:  Salary/Exempt
National Salary Range:  $74,260 - $99,010

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Avesis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avesis recruiters will come from a verified email address ending in @Avesis.com.

We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ITsupport@Avesis.com.

To learn more about protecting yourself from fraudulent activity, please refer to this article link (https://consumer.ftc.gov/articles/how-avoid-scam).  If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: https://reportfraud.ftc.gov/#/) with the Federal Trade Commission. Avesis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.

We Offer

• Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
• Competitive compensation package.
• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
• Life and disability insurance.
• A great 401(k) with company match.
• Tuition assistance, paid parental leave and backup family care.
• Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
• Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
• Employee Resource Groups that advocate for inclusion and diversity in all that we do.
• Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.

Equal Employment Opportunity

At Avēsis, We See You.  We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic.  At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients.  We focus on recruiting, training and retaining those individuals that share similar goals.  Come Dare to be Different at Avēsis, where We See You!

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