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Account Manager (Hospital Relations)
$72k-91k (estimate)
Full Time 1 Week Ago
Save

VNS Health Health Plans is Hiring an Account Manager (Hospital Relations) Near Manhattan, NY

Overview

Manages all aspects of provider relations within a specified geographic region. Regularly visits and maintains ongoing contact with existing/potential providers for relationship building, recruitment, credentialing, re-credentialing and assisting with provider issues and education. Works under general supervision.

Compensation:

$30.71 - $38.41 Hourly

What We Provide

  • Referral bonus opportunities
  • Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays 
  • Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
  • Employer-matched retirement saving funds 
  • Personal and financial wellness programs
  • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
  • Generous tuition reimbursement for qualifying degrees 
  • Opportunities for professional growth and career advancement
  • Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities 

What You Will Do

  • Manages all provider contracts in designated territory, including recruitment, credentialing, recredentialing and relationship maintenance through regular visits and ongoing contact with existing and potential providers.
  • Prepares materials for and orient providers to contract terms and operating requirements, Health Plan program and eligibility requirements, and service coordination.
  • Collaborates with the Network Development and Contracting and Service Operations departments to administer demographic changes and renewals to provider contracts.
  • Monitors contract performance of network providers and serves as a liaison between the Health Plan and the Provider to ensure the flow of information regarding resolution of member service issues.
  • Coordinates provider site visits, as needed.
  • Coordinates and attends meetings to serve as a resource and addresses provider issues.
  • Updates and maintains provider manuals with current Health Plan policies and procedures.
  • Updates and proofs provider directories.
  • Assists providers in triaging billing and claims disputes.
  • Participates and collaborates with Compliance on Department of Health and internal audits.
  • Participates in special projects and performs other duties as assigned.
Qualifications
Licenses and Certifications:
Drivers license required
Education:
Bachelor's Degree or equivalent related work experience, preferably in health care setting required
Work Experience:
Minimum three years health care experience required Knowledge of government programs, including Medicare and Medicaid preferred Prior experience in Provider Relations preferred

Job Summary

JOB TYPE

Full Time

SALARY

$72k-91k (estimate)

POST DATE

05/11/2024

EXPIRATION DATE

07/10/2024

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