Job Description

 

Account Manager- Managed Care

Center Health Care is actively seeking an experienced Managed Care Account Manager

Duties:

  • Oversee operational and delivery aspects of managed care and payer contracts for Skilled Nursing Facilities, Urgent Care, Labs, DME, Home Health Certified Home Health Care Agency (CHHA), and License Home Care Agency (LHCSA).
  • Prepares all negotiated rate negotiations.
  • Keeps informed on, negotiates and implements new strategies for innovative managed care vendors and provider contracting such as fee for services, case rates, risk sharing, bundles payments, as well as unique contracting methodologies.
  • Provides the Vice President of Managed Care with a timely analysis of each contracted payer
  • Coordinates new business opportunities with Director and VP.
  • Develops and maintains a contracting target list of managed care organizations. 
  • Participates in the creation of a managed care strategy.
  • Improves business development efforts by monitoring partner market for changes/trends having impact on managed care or selling strategies, prices and policies.
  • Travels to healthplans as necessary.
  • Maintains strictest confidentiality.
  • Performs other contracting duties as assigned.
  • Position is Not Remote.
  • Must be fully vaccinated against Covid.

Requirements:

  • Bachelor's degree or equivalent related work experience, preferable in health care setting.
  • Ability to negotiate contracts
  • Knowledge of computer systems, programs and applications.
  • Knowledge of research methods and procedures to compile data and prepare reports.
  • Skill in using computer programs to produce necessary reports.
  • Ability to establish and maintain effective working relationships.
  • Ability to work under pressure, communicate and present information.
  • Ability to read, interpret and apply policies and procedures.
  • Ability to identify problems, recommend solutions, organize and analyze information.
  • Ability to establish priorities and coordinate work activities.
  • Minimum 4 plus years health care experience, in the area of contracting.

LOCATION:

Bronx, NY

 

 

 

CEN

Application Instructions

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