Post Job Free

Resume

Sign in

Account Executive Revenue Cycle

Location:
Albany, NY, 12207
Posted:
November 20, 2023

Contact this candidate

Resume:

Adrienne Rousseau

https://www.linkedin.com/in/adrienne-rousseau318

518-***-**** • ad1a81@r.postjobfree.com

Accomplished, results driven Account Executive Healthcare/IT professional in Revenue Cycle Management, Growth and Retention. Managing the largest books of business, most complex customers with an ACV of $30M and holding a contract renewal rate of 100%. I excel at creating lasting partnerships and identifying solutions that maximize operational efficiency and revenue growth. With 15+ years of experience in the Healthcare industry, I have a deep understanding of the challenges facing Healthcare providers and finding innovative solutions. Extensive background in Medicaid, Medicare and commercial health insurance, SaaS implementation, Customer Success Management, Client onboarding, Health Care Systems, E2E, Operational reporting for Enterprise Health systems, selling industry leading solution products to C-Suite executives, pharmacy rebate, revenue cycle management, PBM industry, B2B sales, account planning, performance improvement and project management. Account planning, analyzing data, identifying trends, issues and developing plans to address and resolve concerns. Leverages excellent interpersonal skills to develop strong, and successful internal and external business relationships.

Work Experience

Change Healthcare- Nashville, Tennessee 4/21- 3/23 Senior Client Executive, Revenue Cycle Management and Sales – NY Market

• Successfully owned assigned sales territory selling a large platform of healthcare solution products for industry leading analytics and data transfer between providers, payers and consumers to help improve workflows, increase administrative and financial efficiencies, and improve clinical decisions to C-Level executives

• Exceeded 100% scorecard quota value in customer revenue, retention and upselling across 23 of Change Healthcare’s largest and most complex customers

• Successfully closed over 45 new contracts and generated an annual revenue of over

$30M

• Developed and managed client specific, strategic, financial and business relationship plans that encompassed client’s goals and performance expectations

• Demonstrated ability to manage challenging situations in a positive and constructive manner

• Ensured client retention and drove client contract renewals including managing all RFP and negotiation process

• Organized and led client business planning meetings, financial performance reviews and internal strategy planning discussions

• Optimized potential for sustainable growth and profitability for assigned book of business and determined where to make focused investments for each account

• High level of understanding market trends and competitive practices to share opportunities based on client needs and strategic objectives Magellan Rx Management – Latham, New York 3/18 – 3/21 Account Executive

• Owned overall account satisfaction of Magellan’s largest book of business, invoiced $1B of Medicaid rebates per quarter, with an annual contract revenue of over $25M

• Developed and maintained strategic business plans: ensure revenue goals and profit targets were achieved

• Managed 11 direct reports, hiring process, payroll, formulated strategy, increased quality and implemented best practices

• Ensured service level agreement performance, assurance of accuracy of claims payment and administrative policies, rate maximization through ongoing benefit analysis and adherence to requirements of the accounts legal and regulatory environment

• Coordinated with compliance to ensure understanding of regulations, maintain a client audit schedule to ensure a proactive approach in supporting critical client compliance and coordinate with legal to ensure contract compliance

• Analyzed data and reporting, and prepared executive summaries

• Prepared presentation of customer reports with analytics, trends and recommendations for program improvement

• Established internal goals and identify external benchmarks

• Resolved escalated reimbursement issues with manufacturers, facility, operations and systems for optimal management of accounts receivable

• Managed client implementations effectively and according to policies and procedures

• Developed, implemented and maintained the facility revenue cycle, SOPs

• Developed training material and facilitated staff training of SOPS, systems, and metrics

• Increased up-sell /renewal activities across account; negotiate / support rates and contractual terms with customers

• Hands-on experience in setting up and implementing EPIC, eRebate and EMR migration leading to a successful go live and transition

• Created and managed all new policy and procedures, as well as workflow after the EPIC implementation was completed

MAP Health Management – Austin, Texas 10/16 - 3/18 Account Executive

• Supported clients with all business related functions from point of entry to accurate adjudication, worked directly with Medicare, Medicaid and commercial insurance

• Identified trends and reviewed revenue cycle metrics in order to refine processes and improve efficiencies

• Managed revenue cycle projects at the client level, such as units and projections

• Provided management and client with revenue cycle status, including reports, metrics and presentations

• Established internal goals and identified external benchmarks

• Resolved escalated reimbursement issues with payers, facility, operations and systems for optimal management of accounts receivable

• Managed client implementations effectively and according to policies and procedures

• Developed, implemented and maintained the facility revenue cycle, SOPs Conifer Health Solutions - Frisco, Texas 10/13 - 7/2016 Client Executive

• Managed a revenue budget in excess of $140 million for 400 physicians within a multispecialty group

• Served as a liaison between the client and operations

• Maintained strong client relationships to address issues/needs communicated by the client and provided accurate feedback

• Examined reimbursement and denial patterns, recognized trend and suggested/implemented innovative solutions

• Initiated and delivered business reviews/client meetings regularly with high levels of planning and professionalism

• Managed all client requests for additional information related to: payer trends, compliance, coding, budget variances, regulatory changes, system interfaces and cash flow

• Used of data analytical tools to generate data and provide detailed reports, identified trends and recommended actions to ensure maximum productivity and profitability

• Worked collaboratively across all operational functions to achieve excellence in all related services

Education-

Hudson Valley CC, 1998-2001 Business Administration



Contact this candidate