Ancillary Services Network Account Manager I

🕒 May 21

🏢🏡 New York City – Hybrid

💵 $68.9k - $99.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Account Manager

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Healthfirst

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1993

⚕️ Healthcare Insurance

💸 Finance

Healthcare Insurance • Finance • Medicare

Healthfirst is a health insurance provider dedicated to helping New Yorkers access affordable health coverage for individuals and families. With over 30 years of experience, Healthfirst offers a range of plans including Medicaid managed care, Medicare Advantage, long-term care, and essential health plans. The company focuses on providing quality healthcare options, comprehensive benefits, and support to ensure members can maintain their health and well-being.

📋 Description

• Develops and maintains an Ancillary provider network • Ensures Healthfirst members have access to the highest quality care • Works with multiple provider types e.g. physician, ancillary, medical groups • Manage a network of Ancillary Providers for all lines of Healthfirst's business • Monitor and audit contracted ancillary providers • Create contracts in HF contract software • Negotiate and execute Single Patient Agreements for Out Of Network (OON) Providers • Educate newly credentialed Providers on Healthfirst's policies and procedures • Analyze provider network based on monthly reports • Identify root cause of claims issues and facilitate resolution

🎯 Requirements

• Experience managing or performing high level servicing to a portfolio of customers/providers • Contracting experience • Ability to work independently in dynamic environment • Ability to take initiative and work independently • Ability to prioritize and multi-task • Strong customer-centric and analytical skills • Strong sense of urgency and self-motivational qualities • Excellent oral and written communication skills • High School Diploma or GED.

🏖️ Benefits

• medical, dental and vision coverage • incentive and recognition programs • life insurance • 401k contributions