Client Business Manager (Remote)

REMOTE OR ROCKFORD, IL /VALUE BASED CARE – CLIENT OPERATIONS /FULL-TIME/ REMOTE

Arcadia is dedicated to happier, healthier days for all. We transform diverse data into a unified fabric for health. Our platform delivers actionable insights for our customers to advance care and research, drive strategic growth, and achieve financial success. For more information, visit arcadia.io.

Why This Role Is Important To Arcadia

Arcadia is a population health management company, specializing in data aggregation, analytics, and workflow software for value based care. Our customers achieve financial success in their risk-sharing contracts through Arcadia's focus on creating the highest quality data asset, pushing expertly derived insights to the point of care, and supporting administrative staff with data when and where they need it with applications including care management and referral management. Arcadia has off-the-shelf integration technology for more than 40 different physical and behavioral health FI-IR vendors, powered by machine learning that combs through variations in over 35 million longitudinal patient records across clinical, claims and operational data sources. Arcadia software and outsourced ACO services are trusted by some of the largest risk bearing health systems and health plans in the country to improve the bottom line. Founded in 2002, Arcadia is headquartered in Boston, MA, with offices in Seattle, Pittsburgh, and Rockford, IL.

The Client Business Manager is responsible for coordinating all operational aspects between Arcadia, client and assigned heath plan. They will build relationships with client administrators, network providers and management teams. They will hold a highly client-facing position that oversees and coordinates all operational aspects of services delegated to Arcadia. Assisting in establishing business objectives and creating tangible plans that will contribute to success of both shared and full risk client responsibility arrangements with health plans.

WHAT SUCCESS LOOKS LIKE

In 3 Months

- Understand our clients needs and be able to provide input when needed

- Understand our internal claims and authorization applications and be comfortable pulling reports

- Investigate claims issues with minimal assistance

In 6 Months

- Develop a deep understanding of our clients to deliver high quality creative solutions that have an instant, positive impact

- Be comfortable taking on a new client and project managing their operational needs

- Leading inter-departmental projects, including any site consolidations and/or onboarding new sites/LOBs

In 12 Months

- Become an Arcadia Services CBM expert and be a mentor for new client business managers

What You'll Be Doing

• Reporting and client deliverables
• Medical management operations (only operational, not clinical aspects)
• Operational reporting needs of clients
• Regulatory and contract compliance for functions delegated to Arcadia
• Report to multiple directors for different projects, especially during on-boarding of new clients
• Identify best practice and implement projects and processes
• Communicate at all levels above and below Client President/Director level
• Analyze data and information, including written analysis
• Write reports, manage expectations, and manage metrics
• Understand complicated problems
• Supply concise and relevant solutions to problems
• Supervise associate staff if available
• Establish and maintain excellent rapport with clients
• Work in teams as a project management leader or a participant
• Eligibility and Capitation processes and reconciliations
• Provider relations activities and network management activities

What You'll Bring

• Experience managing mid-size to large scale projects
• Comfort with high level decision making
• Experience developing and writing executive level presentations
• Analytical thinking and planning skills
• Ability to manage multiple priorities in a dynamic environment
• Ability to adapt to an evolving work environment
• Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, Access, and Powerpoint
• Ability to ensure completion of projects and assignments
• Able to problem solve, exercise initiative and make decisions
• Driver's license and reliable transportation required — 25% travel
• Excellent communication skills with outgoing client personality
• Project management for results, operational and strategic
• Policy and procedure development

Would Love for You to Have

• Experience in the health solutions industry, with specific experience in insurance claims with an understanding of managed care preferred
• Associate Degree, or equivalent in education and experience in healthcare field
• Minimum of 3 years of relevant experience in managed care healthcare industry

What You'll Get

• Be a part of a mission driven company that is transforming the healthcare industry by changing the way patients receive care
• A flexible, remote friendly company with personality and heart
• Employee driven programs and initiatives for personal and professional development
• Be a member of the Arcadian and Barkadian Community

About Arcadia

Arcadia.io helps innovative healthcare systems and health plans around the country transform healthcare to reduce cost while improving patient health.  We do this by aggregating massive amounts of clinical and claims data, applying algorithms to identify opportunities to provide better patient care, and making those opportunities actionable by physicians at the point of care in near-real time. We are passionate about helping our customers drive meaningful outcomes. We are growing fast and have emerged as the market leader in the highly competitive population health management software and value-based care services markets, and we have been recognized by industry analysts KLAS, IDC, Forrester and Chilmark for our leadership. For a better sense of our brand and products, please explore our website, our online resources, and our interactive Data Gallery.

This position is responsible for following all Security policies and procedures in order to protect all PHI under Arcadia's custodianship as well as Arcadia Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.