Account Manager, Provider Relations

Village Care • New York, NY

1d

About The Position

VillageCareMAX is looking for a self-motivated individual with a passionate attitude to act as our Account Manager. The Account Manager is responsible for managing relationships with in-network and out of network providers. Advising on VillageCareMAX's policies and procedures, resolving provider issues, and acting as a liaison between providers and VCM will be essential to this role.

Requirements

• Bachelor's degree in relevant field
• 3 years of experience in managed care working with Medicare/Medicaid providers.
• Bilingual in Spanish

Responsibilities

• Orient providers to contract terms, program requirements and service coordination.
• Educate providers, resolve issues, and ensure regulatory/policy compliance.
• Work with IPAs to improve communication, efficiency and patient satisfaction.
• Analyze, organize & maintain records of communications, corrective action plans and outcomes.
• Recommend and develop policies, procedures, and workflows to improve service quality and efficiency of operations.
• Implement scorecard metrics and analyze date to monitor quality, and improve service delivery and member satisfaction.
• Review statistics with providers to ensure continual compliance with VCM Standards.

Benefits

• PTO package
• 10 Paid Holidays
• Personal and Sick time
• Medical/Dental/Vision
• HRA/FSA
• Education Reimbursement
• Retirement Savings 403(b)
• Life & Disability
• Commuter Benefits
• Paid Family Leave
• Additional Employee Discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level