MJHS ยท 8 hours ago
Provider Contract Account Manager
New York, NY
Contract
Onsite
Entry, Mid Level
2+ years expMJHS is a healthcare organization focused on providing Medicare and Medicaid managed care health plans. The Provider Contract Account Manager is responsible for managing network initiatives, optimizing contract performance, and collaborating with various operational teams to ensure quality and cost-effective services.
Health Care
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
Qualification
Required
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
Preferred
Bachelor's Degree, preferred
Familiarity with Managed Care, NYSDOH State and CMS federal regulations is preferred
Company
MJHS
MJHS provides home care and nursing care for elders and children.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
David Wagner
President & CEO, MJHS Health System
Company data provided by crunchbase