Back to positions

Account Manager, Medicare Advantage Plans

Remote role Full-time Open position

Job Description:

  • Serve as the primary account owner for assigned Medicare Advantage Plan partners from post-implementation through steady state
  • Build strong, trusted relationships with plan leadership, population health and care management teams, medical directors, and quality stakeholders
  • Develop a deep understanding of each plan's member population, benefit design, network structure, and strategic priorities — and connect Ceresti's model to what matters most to them
  • Act as an internal liaison at Ceresti for the MA Plan, ensuring the partner’s needs, constraints, and priorities are clearly understood, communicated, and appropriately addressed
  • Own enrollment performance for assigned MA Plan partners, including monitoring referral flow from care management teams, outreach effectiveness, and caregiver activation
  • Lead recurring partner check-ins and business reviews with assigned MA Plan partners
  • Deliver clear, data-driven updates on enrollment, engagement, outcomes, and operational performance – including quality metrics and cost impact relevant to MA Plan priorities.

Requirements:

  • Bachelor’s degree in a related field
  • 5+ years of experience in account management, client success, provider relations, or partnership management within healthcare
  • Experience working with Medicare Advantage Plans, managed care organizations, or value-based care entities
  • Strong understanding of MA Plan operations, care management workflows, and member population dynamics
  • Proven ability to manage complex, multi-stakeholder relationships across clinical, operational, and executive audiences
  • Exceptional communication, organization, and follow-through skills
  • Exceptional problem-solving skills.

Benefits:

  • Competitive compensation
  • Full benefits
  • Remote-first environment

Apply tot his job Apply To this Job

Further positions

Medicaid Eligibility Specialist

Remote role Full-time

Litigation insurance adjuster (remote)

Remote role Full-time

Reporting Manager - Medicaid Analytics job at UnitedHealth Group in Schaumburg, IL

Remote role Full-time

Remote | Insurance Risk & Claims Evaluation Consultant - $95-$130/hour

Remote role Full-time

[Hiring] Medicaid Policy and Program Strategist @For People

Remote role Full-time

Medicare Diabetes Health Educator, CDCES, Remote

Remote role Full-time

Director Medicaid Reimbursement

Remote role Full-time

Strategic Medicaid Proposal Quality Analyst

Remote role Full-time

Daily Claims Representative, P&C Insurance

Remote role Full-time

Claims Adjuster or Sr. Claims Adjuster

Remote role Full-time

Technical Support Manager

Remote role Full-time

Middle School Interventionist

Remote role Full-time

Tech Lead, Web Core Product & Chrome Extension - Lille, France

Remote role Full-time

Yoga Instructor

Remote role Full-time

Private Duty Nurse (RN)

Remote role Full-time

Experienced Chat Support Agent – Entry-Level, No Degree Required – Flexible Remote Work Opportunity

Remote role Full-time

Senior Underwriting Consultant Specialty Pricing - Remote

Remote role Full-time

Outbound Inside Sales Developer Healthcare Services (Part-Time)

Remote role Full-time

Customer Service Representative – Policyholder Support & Solutions Specialist – arenaflex Insurance Call Center

Remote role Full-time

Experienced Full Stack Spanish Bilingual Customer Service Representative – Remote Health Insurance Enrollment Support

Remote role Full-time