Provider Contract Account Manager
Metropolitan Jewish Health System | |
United States, New York, New York | |
Nov 08, 2024 | |
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. 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.
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