Provider Account Manager

Zing Health

1d

About The Position

Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com.

The Provider Account Manager is responsible for developing and maintaining a cooperative relationship and an excellent rapport with all network providers for an assigned region. The Account Manager acts as a liaison between the network providers and Zing Health, monitoring providers to ensure access standards are met, promoting strategic initiatives and providing training for all lines of business to ensure that network providers have updated policy and procedure

Requirements

• Required 3 - 5 years of experience in Provider Relations, Network Development, Network Management, Contracting or related Provider Services position with demonstrated ability to perform the level of duties of the position
• Demonstrated negotiation, analytic and organizational skills
• Knowledge of Managed Care Medicare, or Medicaid. Medicare Experience Preferred
• Excellent customer service skills.
• Excellent written and interpersonal verbal communication skills
• Must have excellent decision-making and problem–solving skills.
• Ability to present in group settings, multi-task, work independently, and work within tight timeframes and meet strict deadlines
• Proficient in Microsoft Office applications, Word, Excel, Power Point and Outlook

Responsibilities

• Manages Provider Network by developing and maintaining relationships to drive business results within a specific geographic area.
• Conducts Provider Orientations and ongoing education to office staff on Zing Health Policy & Procedures.
• Ensures contract SLAs are met, such as meeting with PCP’s and Specialists on a monthly, quarterly, or annual basis to address contractual issues, utilization, claims reporting
• Daily interface with providers and internal constituents to effectively resolve service issues (contract inquiries, claim issues, authorization request, provider access) in a timely manner.
• Maintains provider data integrity including monitoring provider credentialing, location additions, demographic updates, and terminations.
• Monitors and supports providers using utilization reports, pharmacy profiles, ER contingencies, and other analytics
• Understands and explains fee-for-service and risk contracts.
• Performs special projects as assigned.

Benefits

• A competitive salary based on the market
• Medical, Dental, and Vision
• Employer-Paid Life Insurance
• Paid Maternal Leave
• Paid Paternal Leave
• 401(K) match up to 4%
• Paid-Time-Off
• Employee Assistance Programs
• Several supplemental benefits are available, including, but not limited to, Spouse Insurance, Pet Insurance, Critical Illness coverage, ID Protection, etc.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed