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Longevity Health Plan is growing rapidly and is looking to add new talent to our team. Longevity Health Plan currently has operations in Colorado, Florida, Illinois, Michigan, New Jersey, New York, North Carolina, South Carolina, Georgia, Ohio, Texas, and Pennsylvania, with plans to start-up operations in other states in the very near future. Due to our rapid growth, we have an immediate need for an Account Manager.
Company Overview:
Longevity offers an integrated health plan care management platform designed to improve clinical outcomes and reduce unnecessary medical interventions for long-term care beneficiaries living in skilled nursing facilities (SNFs). We offer Institutional Special Needs Plans (I-SNP) that are designated Medicare Advantage plans targeted to beneficiaries with Medicare part A & B who require long-term care in institutional settings. Longevity provides an advanced practice practitioner (NP or PA) supported by LHP RNs and other LHP Clinical team members to work with facility staff, physicians, and caregivers to manage member care in place, and improve their clinical outcomes. I-SNP and the Advanced Practitioner Provider/Clinical Team will improve resident and family satisfaction by providing enhanced benefits specifically tailored to the needs of facility residents.
General Purpose: The individual holding this position is required to support and demonstrate their commitment to the Longevity Health Plan Statement of Purpose, which is: To improve the health and quality of life of nursing home residents by caring for their unique medical, social and emotional needs.
Job Summary:
This position of Account Manager is a field-based role which reports to the President of the Medicare Institutional Special Needs (ISNP) Health Plan and whose major focus is to support the delivery system and SNF partners in providing high quality patient centered care for ISNP members. The position leads the implementation of ISNP participating providers in their region and will ensure that all assigned participating nursing facility and related providers are prepared to offer Longevity ISNP program which includes developing a full and accessible network. Must be trained and versed in the model of care requirement and prepared support facility and our clinical team and partners in achieving or exceeding clinical and quality goals.
The Account Manager is the primary point person for the assigned facility related to Longevity ISNP activities and will lead the resolution of issues by coordinated with internal and external staff to ensure program and operations are successful related to contracting, claim payment, facility and provider credentialing, requests for records or data review related to HEDIS or other reporting needs or audits as required, and coordinating all communication between Longevity and the facility.
The Account Manager is responsible for coordinating the implementation of ISNP program for assigned facilities including coordinating and presenting at cross functional meetings with executive through line staff. The Account Manager is the main point person of contact for their facilities and will coordinate activities of /and be supported by Network, Clinical, and Project Management teams in the organization. Account Manager is responsible for communicating all enrollment, clinical, and quality targets for their facilities and works collaboratively with other departments to achieve these goals.
The Account Manager supports our plan’s members who have complex care needs by ensuring utmost cooperation between all areas and plan functions that affect or the member or their care providers. The Account Manager verifies each facility is prepared to successfully launch ISNP according to schedule and oversees all aspects of a compliant ISNP program at the facility by coordinating all activities across Longevity for the facility, with Longevity vendors and back-office operations, and acts as the liaison with relevant and local provider network.
The Account Manager position is expected to identify and outreach all key providers currently delivering services to facility residents, engage them in participating with the Longevity ISNP program at the facility, and support the contracting process. The Account Manager works with and supports provider relations and contracting staff as appropriate to determine, then achieve contracting goals.
The Account Manager is responsible for coordinating all plan functions related to their assigned facilities and will lead the joint team effort of delivering high quality and cost-effective program of care in conjunction with facility, plan, corporate staff, and management.
Areas of responsibility include identifying key providers and supports and coordinating contracting effort by developing relationships with IPAs, hospitals, and key specialty services. Will be supported by Corporate contracting team but must have ability to understand complex and comprehensive contractual arrangements which requires a depth of understanding of managed care, negotiations, and various high- volume services.
Key Tasks and Responsibilities:
Licensure:
Education and Training:
Knowledge and Experience:
It is the policy of Longevity Health to follow Federal and / or State regulations surrounding COVID vaccinations. While CMS guidelines have been relaxed, there are some LHP facilities which will still require staff be vaccinated in an effort to protect the health of the members / patients we serve. If your assigned location(s) require all staff to be fully vaccinated, you are required to obtain and / or provide documentation related to your COVID vaccination. To confirm whether your assigned location(s) require COVID vaccinations, please refer to the Facility Guide Job Aid located on Longevity Health Plan’s intranet site.
The Company will engage in an interactive process with individuals who cannot be vaccinated for medical or sincerely held religious beliefs to determine if a reasonable accommodation can be made. While an exemption/accommodation may be initially granted, if at any time during employment, it is determined that an exemption/accommodation that has been granted is no longer considered a reasonable accommodation, it can result in employment with the Company ending.
Candidates must meet the Company’s hiring criteria which include a pre-employment background and drug screening.
Longevity Health Plan is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Longevity Health Plan offers competitive compensation and benefits package which includes medical, dental, vision, short and long-term disability, life insurance, and 401(k).
Submission of false information during the application process may result in immediate termination of employment without notice.
Full Time
$99k-135k (estimate)
12/02/2023
04/04/2024
longevityhealthplan.com
New York, NY
<25
The job skills required for Account Manager include Presentation, Futures, Initiative, Analysis, Project Management, Life Insurance, etc. Having related job skills and expertise will give you an advantage when applying to be an Account Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Account Manager. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Account Manager positions, which can be used as a reference in future career path planning. As an Account Manager, it can be promoted into senior positions as an Account Manager IV that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Account Manager. You can explore the career advancement for an Account Manager below and select your interested title to get hiring information.