Account Manager

2 weeks ago

Danville, United States Geisinger Full time

**Job Summary**: Manages day to day relationships with the Health Plan partners and providers. Performs provider recruitment, contracting and relationship management. Coordinates the implementation of and all lifecycle activities of a partnership and/or relationship. Responds to complex inquiries, solving non-routine problems and ensuring partner and/or provider satisfaction. Acts as a technical resource regarding policies, procedures, workflows, complex partner/provider issues and training needs.

**Job Duties**:

- Develops, negotiates and renegotiates contractual and financial arrangements with physician, ancillary and institutional providers.
- Collaborates internally with departments such as Sales, QI, Medical Management, Customer Service and claims to align strategic relationships accordingly.
- Participates in the development of business objectives for provider relationships.
- Leads and participates in development activities throughout both new and existing markets, including tracking and reporting of recruitment activities, progress and barriers to a successful, on-time go live.
- Develops and executes provider specific strategies, goals and objectives including specialty-specific pay for quality programs and strategy for implementation.
- Supports ongoing strategic assessment of provider network.
- Ensures all contracts are negotiated in compliance with regulatory requirements and follow all required policies and procedures related to contract negotiation and implementation.
- Leads the creation, implementation and ongoing improvements of negotiation tools reports and analytics.
- Coordinates and communicates contractual terms to other departments whose functions are necessary to the development, implementation and management of the provider arrangements and relationships.
- Provides service-related functions necessary to identify and resolve service inquiries from participating provider network and other healthcare professionals.
- Documents a detailed account of all provider contacts in the applicable database established and maintained by staff.
- Accurately records and updates provider information necessary for the ongoing function of various operational departments.
- Prepares customized orientation programs to educate participating providers regarding policy and procedure, reimbursement methodology, financial terms and concepts, product lines and associated benefit structure.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

**Position Details**:
**Education**: High School Diploma or Equivalent (GED)
- (required), Bachelor's Degree
- (preferred)

**Experience**: Minimum of 5 years-Relevant experience* (required)

**Certification(s) and License(s)**:
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

  • Account Manager

    4 weeks ago

    Danville, United States Infinity Global, Inc. Full time

    Job DescriptionJob DescriptionPOSITION SUMMARYThe Account Manager is responsible for managing the support team, overseeing all operational aspects and supply chain/distribution processes and serves as the primary point of contact for the corporate client for a group of assigned accounts. The Account Manager leads by example and directs the account team to...

  • Manager, Accounts Payable- Hybrid

    3 weeks ago

    Danville, United States WALGREENS Full time

    **Job Summary** Responsible for overseeing and directing the accounting function for a specific business unit or function within the organization. Responsible for developing accounting policies, procedures and controls and implementing accounting systems pertaining to a specific business unit or accounting function. Also responsible for ensuring that the...

  • Accounting Manager Danville

    6 days ago

    Danville, United States JT International S.A. Full time

      We’re JTI, Japan Tobacco International and we believe in freedom. We think that the possibilities are limitless when you’re free to choose. In fact, we’ve spent the last 20 years innovating, creating new and better products for our consumers to choose from. It’s how we’ve grown to be present in 130 countries. But our business isn’t...

  • Accounting Manager Danville

    1 month ago

    Danville, United States JT International S.A. Full time

      We’re JTI, Japan Tobacco International and we believe in freedom. We think that the possibilities are limitless when you’re free to choose. In fact, we’ve spent the last 20 years innovating, creating new and better products for our consumers to choose from. It’s how we’ve grown to be present in 130 countries. But our business isn’t...

  • Account Manager-personal Lines

    3 weeks ago

    Danville, United States Associated Insurance Management, Inc. Full time

    **Associated Insurance Management (AIM) **is proudly located in Danville PA and has been faithfully serving the community with all personal lines insurance needs including, home, auto, and more. A pioneering small independent agency, AIM has an exciting and rewarding opportunity as a Personal Lines Account Manager. **Position Summary-**The Account Manager...

  • Account Manager-Personal Lines

    1 month ago

    Danville, United States Associated Insurance Management Full time

    Associated Insurance Management (AIM) is proudly located in Danville PA and has been faithfully serving the community with all  personal lines insurance needs including, home, auto, and more.  A pioneering small independent agency, AIM has an exciting and rewarding opportunity as a Personal Lines Account Manager.   Position Summary-The Account Manager...

  • Account Manager-Personal Lines

    4 weeks ago

    Danville, United States Associated Insurance Management Full time

    Associated Insurance Management (AIM) is proudly located in Danville PA and has been faithfully serving the community with all  personal lines insurance needs including, home, auto, and more.  A pioneering small independent agency, AIM has an exciting and rewarding opportunity as a Personal Lines Account Manager.   Position Summary-The Account Manager...

  • Manager Professional Billing

    2 weeks ago

    Danville, United States Geisinger Full time

    **Job Summary**: Manages, supervises, implements and maintains efficient operations of the Billing Department. The primary role is to ensure a very accurate, timely submission, and reconciliation process of claims for both professional and facility services. Oversees the performance and integrity of the department through accurate reporting, monitoring, and...

  • Accountant

    1 week ago

    Danville, Virginia, United States Sovah Health Full time

    Position Summary Sovah Health is looking for the ideal candidate who will assist with the planning, coordination and administration of general accounting activities of the organization. Provides professional support to all areas of the Accounting department as needed including the preparation of financial statements. Prepare and enter journal entries and...

  • Accountant Ii

    4 days ago

    Danville, United States Geisinger Full time

    **Job Summary**: Responsible for the performance of accounting and finance functions. These functions include account analysis, reconciliations and related analytics and supporting financial reporting to meet Geisinger’s internal and external needs. Preparing audit documentation in support of internal and external financial audits and providing other...

  • Accounting Technician

    2 months ago

    Danville, United States Veterans Health Administration Full time

    Summary The purpose of this work is to record financial data; analyze, review, and process accounting adjustments and corrections; and, ensure the integrity, accuracy, and reliability of accounting reports. Duties Performs reviews and audits of certain accounting reports and documents. Creates regular and recurring facility level reports for...

  • Accounting Technician

    4 weeks ago

    Danville, United States Veterans Health Administration Full time

    Summary The purpose of this work is to record financial data; analyze, review, and process accounting adjustments and corrections; and, ensure the integrity, accuracy, and reliability of accounting reports. Duties Performs reviews and audits of certain accounting reports and documents. Creates regular and recurring facility level reports for...

  • Account Specialist

    1 week ago

    Danville, Virginia, United States Fastenal Full time

    OVERVIEW:Elevate your career as a Full-time Account Specialist, where you can enhance your sales and customer service abilities.You will play a crucial role in expanding and assisting our branch's key accounts by establishing connections and aligning products with customer requirements. This position is based at 1301 E Voorhees St, Danville, IL...

  • Clinical Account Executive

    1 week ago

    Danville, Pennsylvania, United States LHC Group Full time

    We're hiring a Clinical Account Executive.At Geisinger Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, Account Executive, Clinical, Executive, Branch Manager, Healthcare, Physician

  • Accounting Director Req # 1745

    1 week ago

    Danville, Virginia, United States HealthcareSource Medical Center Full time

    The Director of Accounting is responsible for planning, implementing, and coordinating the accounting needs of the Foundation. The director must be familiar with the functions of the various departments, third party reimbursement, budgeting, and IRS regulations as they relate to Carle Foundation. The director must have mastery of generally accepted...

  • Customer Account Specialist

    1 month ago

    Danville, United States Parker Hannifin Corporation Full time

    Customer Account Specialist Location: Danville, KY, United States Job Type : Regular Posted : Apr 15, 2024 Job ID: 47197 Back to Search Results Job Description Apply Now > Save Job Job Saved At Parker Aerospace, we develop technologies and innovative solutions that enable reliable, efficient and increasingly sustainable flight for the lifecycle of the...

  • Customer Account Specialist

    4 weeks ago

    Danville, United States Parker Hannifin Corporation Full time

    Customer Account Specialist Location: Danville, KY, United States Job Type : Regular Posted : Apr 15, 2024 Job ID: 47197 Back to Search Results Job Description Apply Now > Save Job Job Saved At Parker Aerospace, we develop technologies and innovative solutions that enable reliable, efficient and increasingly sustainable flight for the lifecycle of the...

  • Customer Account Specialist

    1 month ago

    Danville, United States Parker Hannifin Corporation Parker Aerospace Group Full time

    Customer Account Specialist Location: Danville, KY, United StatesJob Type : RegularPosted : Apr 15, 2024 Job ID: 47197 Back to Search ResultsJob DescriptionApply Now >Save Job Job Saved At Parker Aerospace, we develop technologies and innovative solutions that enable reliable, efficient and increasingly sustainable flight for the lifecycle of the...

  • Customer Account Specialist

    4 weeks ago

    Danville, United States Parker Hannifin Corporation Parker Aerospace Group Full time

    Customer Account Specialist Location: Danville, KY, United StatesJob Type : RegularPosted : Apr 15, 2024 Job ID: 47197 Back to Search ResultsJob DescriptionApply Now >Save Job Job Saved At Parker Aerospace, we develop technologies and innovative solutions that enable reliable, efficient and increasingly sustainable flight for the lifecycle of the...

  • Pharmacy Account Specialist

    1 week ago

    Danville, United States Geisinger Full time

    **Job Summary**: Enters, uploads and reconciles pharmacy invoice information for accurate and timely recording and payment of all pharmacy accounts payable activity. Provides administrative support for all pharmacy contracting, licensing and regulatory filings. **Job Duties**: - Confirms electronic data interchange (EDI) invoices received in the medication...