Carelon Account Executive III

Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

• Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
  
  

A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

The Carelon Account Executive III is responsible for account management retention activities within an assigned book of business. This position will be dedicated to the West Region accounts. Individuals would have support and oversight of delegated operations to Carelon Behavioral Health and requirements related to delivery of behavioral health services in consideration of Commercial, Medicare and Medicaid requirements. Direct experience with Oregon and Washington's behavioral health landscape and systems structure strongly preferred.

How will you make an impact

• Responsible for achieving client retention by identifying client strategy and developing deep familiarity with all aspects of client contracts including products, service levels, and client KPIs.
• Responsible for P&L and operational management for a market in a large, highly complex state with multiple regional areas.
• Foster collaboration with key stakeholders to develop account plans for each client and achieve shared goals.
• Identify and execute cross-sell/upsell opportunities to achieve gross margin, P&L and EBITDA targets.
• Understands and leverages data on account performance and provides input on the regional growth strategy each year.
• Takes a lead role in client meetings, upsells and RFPs / Rebids.
• Serves as liaison to Health Plan support services, which could include: Claims, Enrollment, Member Services, Network, Quality, Regulatory Compliance, NCQA Accreditation, IT, Reimbursement policy, etc.
• Serves as a key client contact for independent resolution and innovation for client executive teams.
• Lead and influence communications with C-suite leadership on company value proposition and alignment to client strategy.
• Support a matrix environment and function including coordination and accountability between internal departments, ensuring the appropriate strategy, tactics and processes are in place to support DMHC requirements, and organizational operations and oversight.
• Manage client expectations and negotiates mutually beneficial contract terms and deliverables with client team.
• Champions change initiatives and tailors' style to meet client expectations.
  
  

Minimum Requirements

• Requires a BA/BS and a minimum of 8 years of experience working in a sales and/or account management, strategy, or sales support operations role;
• Experience in the HMO/healthcare field, comprehensive knowledge of managed care delivery systems, quality of care initiatives, costs of care initiatives, contracting, servicing and operational aspects of a Health Plan; or any combination of education and experience which would provide an equivalent background.
  
  

Preferred Skills, Capabilities, And Experiences

• MBA or Master's degree preferred.
  
  

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.