Provider Contract Account Manager

MJHS • New York, NY

4d • $68,838 - $82,606

About The Position

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.

Requirements

• High School diploma or equivalent, required.
• Minimum two (2) years of provider service and/or contracting experience required.
• Strong analytical, written, and oral communication skills.
• Must be detailed oriented.
• Ability to function with minimal supervision.

Nice To Haves

• Bachelor’s Degree, preferred.
• Familiarity with Managed Care, NYSDOH State and CMS federal regulations is preferred.

Responsibilities

• Responsible for various initiatives involving network management, including but not limited to contracting, quality improvement, and reimbursement strategies.
• This includes managing day to day operations for all activities related to various provider types and optimizing contract performance.
• Works in collaboration with the operations team (Enrollment, Medical Management, Utilization Management, Member Services, Claims, Configuration, Sales, Product, Compliance and Provider Services) to achieve the organizational goal of providing members with quality and cost-effective services.

Benefits

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off, including your birthday!
• Affordable and comprehensive medical, dental and vision coverage for employee and family members
• Two retirement plans !
• 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!
• MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees