A minimum of 5 years working with or within health plans (e.g., Medicare Advantage, Medicaid MCOs, Blues plans, national or regional payers)
Proven experience in customer success, account management, payer operations, or implementation roles
Deep understanding of payer workflows across departments like utilization management, care management, member services, and provider operations
Ability to build trusted relationships across payer orgs, from frontline case managers to senior executives
Experience working cross-functionally in fast-paced environments
Responsibilities
Serve as the primary point of contact for payer organizations, building trusted relationships with stakeholders across clinical operations, utilization management, care management, and executive leadership
Lead onboarding and implementation efforts for AI-driven products, ensuring alignment with payer workflows in areas such as prior authorization, case management, member services, and provider engagement
Drive user adoption by training health plan staff on solution functionality and demonstrating real-world applications that support operational goals
Identify and validate opportunities to improve cost efficiency, member outcomes, and administrative throughput using Hippocratic AI’s capabilities
Manage ongoing client communications, proactively addressing issues, gathering feedback, and translating needs into product and engineering insights
Define success metrics tailored to payer use cases, such as turnaround time improvements, staffing efficiency, and member or provider satisfaction
Partner with internal teams to ensure product performance meets client expectations and aligns with regulatory and compliance standards
Participate in industry forums, conferences, and webinars to share best practices and thought leadership around AI in payer operations