Delegation Oversight Account Manager II - REMOTE

Delegation Oversight Account Manager II - REMOTE at Scout Exchange summary :

The Delegation Oversight Account Manager II serves as the primary liaison between L.A. Care and its delegate provider organizations, managing up to four accounts to ensure delegate performance compliance. This role involves data collection, audit facilitation, communication management, and coordinating with internal business units to streamline information flow and performance improvements. The position emphasizes relationship management, regulatory compliance, and consistent communication to maintain and enhance delegate performance.

Delegation Oversight Account Manager II

Remote - Los Angeles, CA

Position will mainly be remote Ideally someone local to Los Angeles in case there is an onsite meeting in HQ

The Delegation Oversight Account Manager II will serve as the single point of contact between L.A. Care and its contracted entities as it relates to delegate performance. The Account & Communications Manager II will be assigned up to four delegate accounts and will be responsible for facilitating the collection of performance related data, follow up on outstanding data, facilitating annual audit processes, triaging notices of non-compliance, and executing the internal and delegate communications strategy. Assigned accounts include large provider organizations (i.e. PPGs, Specialty Health Plans, etc.) or partnering health plans. The Account & Communications Manager II is responsible maintaining the relationship between L.A. Care and its delegates in relation to performance and will streamline all communications from business units to delegates. It will maintain a repository of communications to ensure consistency and will triage delegate communications is it relates to performance metrics and standards. The Account & Communications Manager II will regularly meet and coordinate with internal business units to ensure accuracy in communications and warm transfer of information.

Duties

• Executes a single point of contact communication and account management strategy for all delegates as it relates to performance. Serves as a communication link between assigned accounts and LAC.
• Completes regularly scheduled meetings (site visits, or conference calls) with all accounts. Translate information exchange, ideas, requests and other inquiries into actionable items for improved relationship management and enhanced performance.
• Responsible for the project management and facilitation and collection of monitoring, reporting, and audit activities and will liaise with business units and auditors in the coordination of each activity.
• Serves as the conduit through which all communications flow between business units and their counterparts at delegated entities. Conduct internal monthly meetings with stakeholders reviewing delegate performance.
• Implements communication protocols to ensure all delegates are consistently and uniformly informed of L.A. Care's expectations and their performance. Delivers accurate, timely, and appropriate information to their assigned accounts and maintain a repository of all communications.
• Communicates to delegates will include but not be limited to : 1. Data submissions, 2. Monitoring results, 3. Audit Results, 4. Remediation Efforts, 5. CAP Statuses, 6. Sanctions decisions, 7. Delegate responses and updates.
• Drafts and sends monthly delegate newsletters for performance information impacting all delegates and celebrating high performing delegates.
• Maintains an understanding of LACs reports and metrics to evaluate the performance of assigned providers and / or provider organizations and uses the data to develop and implement methods to improve relationships with all providers. Assists in all corrective actions required, up to and including termination, following LAC policies and procedures, and applicable contractual and regulatory requirements.
• Performs other duties as assigned.

Keywords :

delegate performance management, account management, audit facilitation, healthcare communication, performance monitoring, provider relations, compliance oversight, data collection, stakeholder coordination, corrective action