Client Success Manager - Value Based Care

About the role

The Client Success Manager is responsible for developing and maintaining a strong and lasting client and broker/consultant partnership with assigned customers. This role is engaged in the strategic and proactive planning within the client's overall line of business and is responsible for identifying and executing opportunities to engage the employee and member population to ultimately drive clinical and savings outcomes. The Client Success Manager serves as a trusted advisor who leverages claims data, value-based care insights, and performance analytics to demonstrate ROI and guide clients toward strategies that optimize health outcomes and total cost of care. This is accomplished via proactive and timely issue resolution, consulting customers on best practices, reviewing service/product offerings, recommending new solutions, and providing market insights. ESSENTIAL DUTIES & RESPONSIBILITIES Develop a deep understanding and interest of population health and healthcare utilization data, including medical and pharmacy claims trends, with the ability to articulate results and translate insights into actionable client strategies. Leverage claims data and value-based care metrics to identify care gaps, high-cost utilization patterns, and opportunities for improved clinical intervention and cost containment. Participate in new health center implementation planning and launch. Manage contractual requirements including renewal terms and successfully renew clients at targeted escalation. Identify and target revenue growth opportunities with existing clients including new member populations, health centers, products, and services. Help define and leverage the coverage model for assigned Taft-Hartley clients. Use creative feedback tools to develop an understanding of customer's needs; work with internal partners to improve products and services. Coordinate with the marketing team to develop and implement client-specific engagement plans including communication and incentive plans to improve utilization and patient experience. Partner on strategies to drive employee and member engagement, achieve clinical and savings metrics, meet performance guarantees tied to value-based care outcomes, and maintain open communications with clinical staff. In collaboration, analyze, summarize, report, and manage performance data related to clinic operations, claims experience, and value-based outcomes. Understand and track risk metrics related to the success of the partnership. Consult with clients on value-based care principles, helping them understand how primary care investment reduces downstream claims spend and improves overall plan performance. Maintain Salesforce documentation and reporting. Execute all necessary contractual requirements in a timely manner; may assist in Requests for Proposals (RFPs) as requested. Support the coordination of client eligibility file processing, invoicing, incentive documentation, and reporting. May serve as the lead point of contact for all customer needs and requests. Maintain broker relationship and engage in positive relationship to advocate on behalf of mutual client. Run, interpret, and deliver client reporting - including claims analysis, utilization trends, and value-based care scorecards - on the appropriate frequency.