What are the responsibilities and job description for the Account Manager, Community Based Services position at Village Care?
Account Manager, Community Based Services
Salary: $77,506.87 - $87,195.23
Fully Remote
**MUST LIVE IN NJ/NY/CT**
Join VillageCare as a Full-Time Account Manager for Community Based Services, and immerse yourself in a dynamic environment where your skills as a smart, problem solver will make a positive impact. In this onsite role, you'll collaborate with a passionate team dedicated to customer-centric excellence, fostering meaningful relationships and delivering high-quality healthcare solutions. With a competitive salary range of $77,506.87 - $87,195.23, you will have the opportunity to not only grow professionally but also contribute to innovative solutions in a forward-thinking healthcare organization.
You will receive great benefits such as a generous PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b) with a 5% employer contribution, Life and Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. Step into this exciting challenge, where your expertise will shine in a flexible, energetic workplace that values integrity and high performance. Apply today to make a difference at VillageCare!
A little about us
VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.
What would you do as a Account Manager, MLTC Services
As a Full-Time Account Manager for Community Based Services at VillageCare, you will play a vital role in overseeing the daily operations of Licensed Home Care Agencies, Fiscal Intermediaries, Certified Home Health Agencies, and Social Day Care Centers. Your responsibilities will include assisting with credentialing, contracting, provider relations, and ensuring regulatory compliance across all functions. You will maintain contracts that support our MLTC and Medicare lines of business, conduct onboarding sessions for new agencies, and perform annual visits to assess Tier 1 and Tier 2 LHCSAs. Collaborating closely with Business Development, you will strengthen Plan/Provider partnerships, driving membership growth while improving care quality.
You will also oversee contract accuracy through quality audits, resolve authorization issues in concert with Care Management, and ensure compliance with state regulations during Social Day visits. Additionally, you will respond proactively to provider-related issues, ensuring timely resolutions and promoting a collaborative atmosphere.
Are you the Account Manager, MLTC Services we're looking for?
To excel as a Full-Time Account Manager for Community Based Services at VillageCare, candidates must possess a Bachelor's degree and demonstrate familiarity with NYS and CMS healthcare regulations. A strategic thinker with superior organizational skills, you will require a minimum of 2-4 years of experience in managed care operations, particularly in long-term care services for government programs like Medicaid and Medicare. Strong regulatory and compliance knowledge is essential, alongside proven leadership capabilities that translate into action. Effective communication skills are crucial, allowing you to engage and influence employees across all management levels.
Are you ready for an exciting opportunity?
So, what do you think? If you can meet these requirements and perform this job as described above, we would be happy to have you as part of our team!
VillageCare is an Equal Opportunity Employer.
Salary : $77,507 - $87,195