Network Account Manager

2 weeks ago

Monsey, United States Health First Full time

  • Serve as plan liaison for vendors/physicians/physician groups in a specified geographical area. Will be the main point of contact for all plan related issues including marketing, enrollment, contracting, billing and reimbursement.

  • Responsible for the resolution of all issues, including those identified by the provider/vendor, and those identified internally that have an impact on the physician/vendor. Coordinates with all Healthfirst staff to assist as appropriate, including creating project plans, issue logs, conference calls, etc.

  • Responsible for the provider/vendor recruitment process. Identify gaps, complete paperwork, etc.

  • Schedule frequent and regular face-to-face contact with the practice locations/vendors to identify any issues and ensure plan visibility.

  • Keep abreast of competitor activity, including new reimbursement and marketing strategies. Negotiate favorable/competitive rates with providers/vendors based on market trends.

  • Conduct new provider/vendor orientation and identify opportunities for education on both clinical and administrative topics. Includes experts in the field of education as needed from in-house staff.

  • Responsible for monitoring and reporting on providers/vendors' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement plans.

  • Working under light supervision, maneuvers multiple tasks independently with a fast paced proactive vs. reactive approach to changing priorities while meeting departmental objectives. Attention to managing many details and remaining focused in an environment with distractions.

  • Contribute creative solutions and ownership of daily assignments for seamless communication and systematic completion of routine and special projects. Follow protocols and use common sense to escalate situations to management appropriately.

  • Handle other duties as assigned with the occasional need to work weekends, overtime and/or travel throughout the tristate area. Engage in mastering the Division's impact on Healthfirst, its Members, and Providers

Minimum Qualifications:

  • Associates degree from an accredited institution or sufficient years of experience

  • Medicare and/or Medicaid managed care experience

  • Excellent oral and written communication skills (Letter writing, Memo, and Email)

Preferred Qualifications:

  • Bachelors Degree from an accredited institution

  • Provider office operations experience

  • Ability to understand Provider/vendor claims reimbursement

  • Contract negotiation experience

  • Bilingual fluency (reading, writing, speaking) Chinese or Spanish and English

  • Exposure to multiple functions especially finance, business intelligence

  • Experience with Microsoft office such as Excel, Outlook, and/or electronic archiving

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

  • Network Account Manager

    2 weeks ago

    Monsey, New York, United States Health First Full time

    Serve as plan liaison for vendors/physicians/physician groups in a specified geographical area. Will be the main point of contact for all plan related issues including marketing, enrollment, contracting, billing and reimbursement. Responsible for the resolution of all issues, including those identified by the provider/vendor, and those identified...

  • National Account Manager

    7 days ago

    Monsey, United States Creative Kids Full time

    Job description As a key part of a disruptive and fast-growing toy company, you will be required to maximize opportunities, manage risk, deliver on profitability goals, develop effective long-term business relationships, and exceed customer expectations. OBJECTIVES OF THIS ROLE Establish and maintain strong relationships with both retail and distributors...

  • Convenience Store Manager

    1 month ago

    Monsey, United States Seasons Kosher Supermarket Full time

    Job DescriptionJob DescriptionCompany OverviewSeasons Supermarkets is one of the largest kosher supermarket chains in the nation. At present, there are 4 Seasons Supermarket locations & 4 Convenience store models across the Tri-State area with plans to expand. Seasons offers its customers a full-service kosher shopping experience where everyone, including...

  • Convenience Store Manager

    4 weeks ago

    Monsey, United States Seasons Kosher Supermarket Full time

    Job DescriptionJob DescriptionCompany OverviewSeasons Supermarkets is one of the largest kosher supermarket chains in the nation. At present, there are 4 Seasons Supermarket locations & 4 Convenience store models across the Tri-State area with plans to expand. Seasons offers its customers a full-service kosher shopping experience where everyone, including...

  • IT Support Technician: Level 2

    7 days ago

    Monsey, United States Achieve Behavioral Health Full time

    We are seeking an IT Support Technician - Level 2 to join our team at Achieve Behavioral Health. This is an internal facing role reporting to the IT Department committed to supporting the Information Technology needs of our staff. This individual will be responsible to resolve internal Technical Issues/Service Tickets at our Rockland County locations using...

  • Engineering Program Manager

    2 weeks ago

    Monsey, United States Laland Baptiste Full time

    Engineering Program Manager (Hybrid) Laland Baptiste, LLC is a certified minority and woman owned construction management and consulting firm. Laland Baptiste provides innovative and professional services throughout all phases of the construction life cycle. We pride ourselves as being loyal and reliable to our customers, clients, and our greatest assets,...

  • Senior Healthcare Analyst, Medical Economics

    2 weeks ago

    Monsey, New York, United States Health First Full time

    This is a hybrid opportunity - work schedule consists of reporting to our office 3 days per week located at 100 Church Street, NYC. As a Senior Healthcare Analyst within Medical Economics, you will manage projects from analysis to implementation and beyond, ensuring that results are achieved, and leadership is aware of the unique headwinds and tailwinds...

  • Senior Healthcare Analyst, Medical Economics | Hybrid NYC

    4 weeks ago

    Monsey, United States Health First Full time

    This is a hybrid opportunity - work schedule consists of reporting to our office 3 days per week located at 100 Church Street, NYC. As a Senior Healthcare Analyst within Medical Economics, you will manage projects from analysis to implementation and beyond, ensuring that results are achieved, and leadership is aware of the unique headwinds and tailwinds...

  • Senior Healthcare Analyst, Medical Economics | Hybrid NYC

    4 weeks ago

    Monsey, United States Health First Full time

    This is a hybrid opportunity - work schedule consists of reporting to our office 3 days per week located at 100 Church Street, NYC. As a Senior Healthcare Analyst within Medical Economics, you will manage projects from analysis to implementation and beyond, ensuring that results are achieved, and leadership is aware of the unique headwinds and tailwinds...

  • Senior Healthcare Analyst, Medical Economics | Hybrid NYC

    3 weeks ago

    Monsey, United States Health First Full time

    This is a hybrid opportunity - work schedule consists of reporting to our office 3 days per week located at 100 Church Street, NYC. As a Senior Healthcare Analyst within Medical Economics, you will manage projects from analysis to implementation and beyond, ensuring that results are achieved, and leadership is aware of the unique headwinds and tailwinds...

  • Property Manager

    4 weeks ago

    Monsey, United States MMS Group Full time

    Job DescriptionJob DescriptionFor more than forty years, MMS Group and its affiliates (Arco Management, TUC Management, and GoldOller Real Estate Investments) have been dedicated to quality property management. Our growing portfolio exceeds 40,000 residential units and includes high-rise luxury buildings, affordable housing cooperatives, subsidized rental...

  • Property Manager

    1 month ago

    Monsey, United States MMS Group Full time

    Job DescriptionJob DescriptionFor more than forty years, MMS Group and its affiliates (Arco Management, TUC Management, and GoldOller Real Estate Investments) have been dedicated to quality property management. Our growing portfolio exceeds 40,000 residential units and includes high-rise luxury buildings, affordable housing cooperatives, subsidized rental...

  • Senior Healthcare Analyst, Medical Economics | Hybrid NYC

    2 weeks ago

    Monsey, United States Health First Full time

    This is a hybrid opportunity - work schedule consists of reporting to our office 3 days per week located at 100 Church Street, NYC. As a Senior Healthcare Analyst within Medical Economics, you will manage projects from analysis to implementation and beyond, ensuring that results are achieved, and leadership is aware of the unique headwinds and tailwinds...

  • Senior Healthcare Analyst, Medical Economics | Hybrid NYC

    2 weeks ago

    Monsey, United States Health First Full time

    This is a hybrid opportunity - work schedule consists of reporting to our office 3 days per week located at 100 Church Street, NYC. As a Senior Healthcare Analyst within Medical Economics, you will manage projects from analysis to implementation and beyond, ensuring that results are achieved, and leadership is aware of the unique headwinds and tailwinds...

  • Sales Management Trainee Monsey Bardonia Nyack Haverstraw NY

    1 month ago

    Monsey, United States Enterprise Full time

    Overview Start your career with Enterprise! We’re hiring immediately for our respected Management Training Program. Whether you see yourself in sales, business development, customer service, retail management, or operations, as a manager in training, you can count on a career path with a clear beginning and an open end that’s full of opportunities. With...

  • Pediatric Dentist

    2 weeks ago

    Monsey, New York, United States PDS Management Services, LLC Full time

    _ Career Opportunity in Monsey, NY _ ABOUT PDS MANAGEMENT SERVICESOur offices are professionally managed with Nationally renowned pediatric clinicians to support your career pathway. Our offices are experiencing tremendous growth from expanded education and referral programs in the communities we serve. We offer a child-friendly environment with dedicated...

  • Director of Finance and Operations

    3 weeks ago

    Monsey, United States Mai Placement Full time

    **Vice President of Finance (Finance Leader)** **NY/NJ In-Person** **400k Plus Profit sharing** **Responsibilities**: **Team Leadership**:Manage and lead a large team, providing motivation, coaching, and career development. Inspire and invest in people to foster a team-centric environment. - **Business Leadership**:Combine financial acumen with a...

  • Director, Organizational Design

    4 weeks ago

    Monsey, United States Health First Full time

    Duties and Responsibilities Primary designer and lead on a variety of enterprise OD and OE initiatives with focused on organizational design.Develop the enterprise approach, frameworks, and tools informed by proven, science-based methods, with a bias for efficient, simple, user-friendly output and communications. Promote and facilitate the use of proven...

  • Director, Organizational Design

    2 weeks ago

    Monsey, United States Health First Full time

    Duties and Responsibilities Primary designer and lead on a variety of enterprise OD and OE initiatives with focused on organizational design.Develop the enterprise approach, frameworks, and tools informed by proven, science-based methods, with a bias for efficient, simple, user-friendly output and communications. Promote and facilitate the use of proven...

  • Senior Sales Executive

    1 month ago

    Monsey, United States Maiplacement Full time

    Join our dynamic distribution and manufacturing company as a Senior Sales Executive! We are seeking an experienced and driven sales professional to lead our efforts in expanding our customer base and driving revenue growth,Minimum of 2 years of experience in sales, with a proven track record of success in B2B sales within the paper goods distribution...