Account Manager, Contracting Network Management

Job Description

Job Description

Account Manager, Contracting Network Management

Salary : $102,549.17 - $115,367.82

Hybrid

• MUST LIVE IN NJ / NY / CT

Join VillageCare as a Full-Time Account Manager in Contracting, where you will play a pivotal role in shaping health plan agreements. This position offers the unique opportunity to engage with key stakeholders, ensuring quality and excellence in healthcare delivery. Enjoy the flexibility of a work-from-home environment, allowing you to balance professional commitments with personal life seamlessly. With a competitive salary range of $102,549.17 to $115,367.82, this role rewards your expertise and dedication to customer-centric solutions.

You can get great benefits such as a generous PTO package, 10 Paid Holidays, Personal and Sick time, Medical / Dental / Vision, HRA / FSA, Education Reimbursement, Retirement Savings 403(b) with a 5% yearly employer contribution, Life and Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. Dive into an energetic and professional culture that fosters innovation and collaboration, empowering you to make a tangible difference in the healthcare industry.

Must reside within the New York Tri-State Area - NY, NJ, or CT.

VillageCare : What drives us

VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.

What it's like to be a Account Manager, Contracting at Account Manager, Contracting

The Account Manager, Contracting position at VillageCare is an essential role supporting the Sr. Director of Network Contracting. This position requires a dynamic individual who will facilitate the creation and maintenance of contracts, manage templates, and oversee amendments to ensure compliance and operational efficiency. You will be tasked with submitting contracts to the Third-Party Administrator (TPA) for rate updates, performing quality assurance in FACETS , and actively supporting various Network Management projects.

Your expertise in contracting and strong organizational skills will be invaluable as you collaborate closely with the Credentialing Team, Provider Relations, and legal departments, ensuring seamless execution of agreements. Additional responsibilities include maintaining accurate documentation in LinkSquares / Salesforce, overseeing contract terminations, and supporting initiatives like Minimum Wage and Wage Parity. This is a fantastic opportunity to contribute to a high-performing and innovative team dedicated to enhancing healthcare delivery in New York.

Does this sound like you?

To thrive as an Account Manager in Contracting at VillageCare, candidates should possess a Bachelor's Degree , ideally complemented by a minimum of three years of experience in a health-related field. Proficiency in Salesforce and a solid understanding of healthcare contracting are essential, including the ability to redline contracts and facilitate amendments effectively. Candidates should also demonstrate experience in analyzing and utilizing data to drive network development initiatives, along with a comprehensive knowledge of the regulatory framework governing network adequacy for Medicare and Medicaid health plans.

Strong organizational skills and a detail-oriented mindset are critical for managing multiple tasks and ensuring contract compliance. Effective communication and collaboration skills will enable you to work seamlessly with various departments, including Credentialing, Provider Relations, and Finance, thus supporting the overarching goals of the Network Contracting Team.

Ready to join our team?

We believe in taking care of our team, both on and off the job. That's why we offer a mobile-friendly application process - because we know your time is valuable. If you're ready to take your management skills to the next level and join a team that values hard work and good times, complete our application today!

VillageCare is an Equal Opportunity Employer.

Job Posted by ApplicantPro