ProgenyHealth, LLC

Customer Success Manager

• Lead all aspects of client operations and engagement as the primary advocate for health plan clients
• Coordinate and drive client meetings aligned with client needs and goals
• Facilitate discussions and ensure all perspectives and solutions are considered
• Document actionable steps and share insights
• Analyze and organize client change requests to support seamless execution and continuous improvement
• Serve as the first point of contact for client leaders and teams
• Manage client operations involving contracts, systems, and performance guarantees
• Champion services and value proposition by communicating impact to clients and communities
• Develop and present client-facing materials highlighting operational excellence and innovation
• Ensure high-quality client-specific reporting with clear, actionable insights
• Take decisive action and escalate issues as needed to protect and advance client interests

Client Success Manager

• Develop and execute strategic plans, including comprehensive relationship management strategies
• Lead Maternal and Infant Health business consultations
• Conduct operational reviews and present annual ROI in business reviews
• Drive retention and cross-sell expansion for a portfolio of 5–7 client accounts
• Ensure exceptional service delivery and compliance with contract requirements
• Build and maintain relationships with clients and clinicians, including MDs, RNs, and CMs
• Understand client environments, missions, and initiatives within health plans and across states
• Analyze and present clinical Key Performance Indicators to clients
• Develop a deep understanding of ProgenyHealth services and communicate the company’s value proposition
• Plan, organize, and lead quarterly and annual strategic client meetings
• Solve complex problems independently and collaborate with teams as needed

Client Success Executive

Associate

• Assist the Utilization Management program by providing administrative support to the Utilization Review department
• Perform intake, screening, and precertification of appropriate healthcare services
• Assist Clinical Care Nurses with clerical tasks related to discharge planning and utilization review
• Monitor member eligibility
• Conduct outreach calls to hospitals for follow-up clinical and discharge information
• Process new admissions, including updating patient demographics, creating cases in BabyTrax®, documenting cases in the client system, and assigning Clinical Care Nurses
• Communicate verbal and written prior authorizations according to client specifications
• Receive incoming Utilization Management calls and refer them to appropriate staff
• Maintain compliance with policies, procedures, regulations, patient safety, risk management, regulatory, and accreditation requirements
• Maintain accurate and complete documentation
• Provide additional support and project work across Care Management areas as needed
• Report to the Supervisor of Utilization Review

Utilization Management Associate

• Assist the Case Management department with administration of case management functions
• Conduct telephonic follow-up with members
• Monitor member eligibility
• Update database information and member demographic information
• Research support groups, member resources, and provider information
• Coordinate with Case Managers on follow-up outreach to unenrolled families
• Track and document case status in the database
• Communicate basic program information to families
• Facilitate follow-up calls by Case Managers
• Facilitate case closures

Case Management Associate, Bi-Lingual, CST time zone – NICU

Sales

• Expand ProgenyHealth’s footprint through direct and indirect engagement strategies, including direct sales and working with client managers to showcase solutions
• Drive the full life cycle of sales activities from identification of prospects to closing of sale
• Develop responses to prospect RFIs and RFPs
• Represent ProgenyHealth at industry events and trade shows, and through thought leadership activities, including presentations, as needed
• Analyze sales activities and identify and recommend strategies to improve sales performance and ensure ProgenyHealth remains competitive
• Complete regular sales reports, forecasts, and other related communications as requested

Client Success Manager

Client Success Executive

Utilization Management Associate

Case Management Associate, Bi-Lingual, CST time zone – NICU

Sales Executive