Senior Network Account Manager

Overview The Senior Account Manager is committed to the development and supervision of a high performance provider network, through various provider engagement strategies which follow four core principles: Quality, Clinical Efficiency, Administrative Efficiency, and Population Health. The individual at this level functions as a cultural ambassador and strategy driver for Healthfirst, embodying Healthfirst’s Standards of Excellence through workplace behavior and promoting consistent subordinate behavior aligned with the desired culture. Responsibilities Advance Healthfirst through superior customer service focused leadership in an assigned territory and team, optimizing provider satisfaction. Educate and train network representatives in key business principles around profitability, network adequacy, and quality. Promote successful internal collaboration within Healthfirst for our providers: Shared mutual goals by working directly with the hospital and affiliated provider teams to improve their clinical, quality, and member satisfaction outcomes. Provide effective education and communication of Healthfirst benefits and policies, changes, and effects to individual practices. Collaborate, develop, and deliver reports that allow provider partners to better manage patient populations (roster, care plans, quality reports, etc.). Propose and implement initiatives or process changes with providers that encourage improvements within the healthcare delivery/administrative structure. Provide customer service focused leadership to optimize provider satisfaction through timely and accurate issue resolution. Manage projects, providing status updates and ensuring completion of assigned projects. Provide coaching and mentoring for staff. Identify opportunities for further training and education. Apply critical thinking to solve problems, analyzing the impact of decisions on provider/practice operations. Understand reimbursement methodologies related to the community provider network. Grounded in core principles of Clinical Efficiency, Population Health, and Administrative Efficiency. Proactively identify trends, root causes, and develop action plans for closure. Analyze reports related to provider performance and relate patterns to overall trends. Negotiate and present discussions with clear escalation paths. Understand contracting logistics, terms, and translate them into system rules and provider records. Guide and facilitate the team's contracting process from start to finish. Qualifications Minimum Qualifications Experience with Medicare and/or Medicaid managed care. Provider office operations experience. Knowledge of provider claims reimbursement. Contract negotiation experience. Professional writing skills (letters, memos, emails). Preferred Qualifications Bachelor’s degree. Benefits Salary range (Greater New York City Area): $122,900 - $188,020; other locations: $105,100 - $160,480. Medical, dental, and vision coverage. Incentive and recognition programs. Life insurance. 401(k) contributions. Equal Opportunity Employer WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us at View email address on click.appcast.io or call View phone number on click.appcast.io. In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e‑mail address and phone number supplied. #J-18808-Ljbffr Healthfirst