Assistant Manager - New York, United States - 1199SEIU Family of Funds
Description
Requisition #:
6780
- # of openings:
1
- Employment Type:
Full time
- Position Status:
Permanent
- Category:
Non-Bargaining
- Workplace Arrangement:
Hybrid
- Fund:
1199SEIU Benefit and Pension Funds
Responsibilities
- Develop and oversee provider education, recruitment, and intervention efforts for 1199SEIU Funds
- Oversee Provider Relations Representatives (Field and In-House) assigned to territories in the Funds Network; conduct site visit verification to ensure Provider Relation Representatives are meeting site visits goals and expectations
- Handle escalated issues (i.e. recruitment requests, enhanced fee negotiations requests, provider complaints, appeals, claim files)
- Manage the Home Care Fund plan including roster distribution; ensure providers are knowledgeable of Funds programs and policies
- Assist with implementation of cost containment programs
- Generate reports including Executive reports to track staff performance; meet with staff regularly; coach and mentor staff to ensure network management goals and initiatives are met
- Assess training needs and develop plans to ensure staff are trained on policies and procedures, and new programs
- Perform additional duties and projects as assigned by management
Qualifications
- Bachelor's Degree in a related field; or the equivalent years of experience required
- Minimum four (4) years experience with provider recruitment, contracting and credentialing, to include a minimum of two (2) years supervisory experience required
- Experience in a healthcare plan or managed care setting
- Knowledge of healthcare management systems, healthcare terminology, medical billing, reimbursement payment structures and Medicare terminology
- Proficiency in Microsoft Office; able to navigate webbased systems
- Excellent interpersonal and communication skills oral, written and listening
- Strong organizational skills with ability to work in a fastpaced environment and juggle multiple competing tasks and demands
- Excellent customer service skills; able to build and maintain relationships, and diffuse difficult situations
- Demonstrated leadership skills with ability to interact and communicate with individuals at all levels of the organization in a professional manner.
- Must have high ethical standards to handle sensitive and confidential situations. Position continually requires demonstrated integrity, honesty, poise, tact, and diplomacy.
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