Account Manager, Provider Relations

Account Manager - Provider Relations

Bilingual - Spanish

*Field based position - Travel required in the Greater NYC area*

VillageCareMAX is looking for a self-motivated individual with a passionate attitude to act as our Account Manager. The Account Manager is responsible for managing relationships with in-network and out of network providers. Advising on VillageCareMAX's policies and procedures, resolving provider issues, and acting as a liaison between providers and VCM will be essential to this role.

Some responsibilities will include:

• Orient providers to contract terms, program requirements and service coordination.
• Educate providers, resolve issues, and ensure regulatory/policy compliance.
• Work with IPAs to improve communication, efficiency and patient satisfaction.
• Analyze, organize & maintain records of communications, corrective action plans and outcomes.
• Recommend and develop policies, procedures, and workflows to improve service quality and efficiency of operations.
• Implement scorecard metrics and analyze date to monitor quality, and improve service delivery and member satisfaction.
• Review statistics with providers to ensure continual compliance with VCM Standards.

We would like to speak to those who have a Bachelor's degree in relevant field, along with 3 years of experience in managed care working with Medicare/Medicaid providers. Bilingual in Spanish required.

There are many benefits to working for VillageCare. If you are someone who likes being part of a team, enjoys a highly competitive benefits package from world leading carriers and competitive compensation, than we would love to speak with you!

• PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, Additional Employee Discounts

VillageCare offers a wide range of at-home and community-based services, as well as managed long-term care options that seek to match each individual's needs to help them attain and maintain the greatest level of independent living possible. We are committed to superior outcomes in quality health care.

VillageCare is an Equal Opportunity Employer.