Jobs
>
Brooklyn

    Senior Account Manager, Provider Engagement - Brooklyn, United States - MetroPlus Health Plan

    Default job background
    Description

    Senior Account Manager, Provider Engagement



    Job Ref: 105307

    Category: Professional

    Department: Provider Network Operations

    Location: 50 Water Street, 7th Floor,

    New York,
    NY 10004

    Job Type: Regular

    Employment Type: Full-Time

    Hire In Rate: $90,000.00

    Salary Range: $90, $101,000.00

    Empower. Unite. Care.

    MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

    About NYC Health + Hospitals

    MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

    MetroPlusHealthis committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

    Position Overview

    Reporting to the Director of Provider Engagement, the Sr, Account Manager is responsible for the developing key provider relationships and driving high performance of key providers. Serving as the one-stop "Quarterback" for high profile groups, including coordinating Quarterly Business Reviews (QBR) and various operational meetings to drive performance and a world-class engagement experience. Success in this role will be measured by aligned goals that include but are not limited to membership growth, quality, risk adjustment, utilization management, and overall financial performance.

    Job Description

  • Develop and establish key provider partnerships aligned with MetroPlusHealth business goals.
  • Review data and analytics of key provider group performance to determine areas of focus and develop improvement opportunities.
  • Develop strategies and action plans that align key provider groups with company goals.
  • Collaborate effectively with internal functions such as Quality Management, Risk Adjustment, Clinical Services, Sales and others to monitor trends and develop strategic plans to improve performance.
  • Demonstrate understanding of providers' business goals and strategies to facilitate the analysis and align on partnership goals.
  • Establish effective Quarterly Business Reviews (QBR) with a formal agenda that includes but is not limited to financial, quality, utilization, and membership reporting.
  • Develop and maintain executive level monthly reporting on all Provider Engagement activity, performance, and progress to goals.
  • Minimum Qualifications

  • Master of Public Administration (MPA) or Master of Public Health (MPH) degree required; and
  • Minimum 3 years of relevant Healthcare industry experience in a provider network management and value-based environment; or
  • A satisfactory equivalent combination of education, training, and minimum 5 years of relevant Healthcare industry experience in a provider network management and value-based environment.
  • Solid background in healthcare, preferably experience working in a network management and value-based role.
  • Must have excellent healthcare and financial data analysis skills.
  • Professional Competencies

  • Integrity and Trust
  • Customer Focus
  • Functional/Technical skills
  • Written/Oral Communication
  • Ability to decipher contractual language and clearly deliver messages to clients and customers with written and verbal communication.
  • Excellent verbal and written communications skills with demonstrated ability to communicate, present, and influence both credibly and effectively at all levels of an organization, including executive and C-level.
  • Demonstrated self-starter, strategic thinker, and ability to manage complexity and ambiguity.
  • Adaptable quickly to change in an ever-changing environment.
  • Ability to develop solid long-term positive working relationships.
  • Ability to drive effective provider performance
  • Strong business acumen, analytical, critical thinking, and persuasion skills
  • #LI-Hybrid



  • Metroplus Health Plan Inc New York, United States

    Director of Provider Engagement · Job Ref: 105319 · Category: Professional · Department: Provider Network Operations · Location: 50 Water Street, 7th Floor, New York, NY 10004 · Job Type: Regular · Employment Type: Full-Time · Hire In Rate: $150,000.00 · Salary Range: $150, $161, ...


  • NYC Health Hospitals New York, United States

    MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchan ...


  • MetroPlusHealth New York, United States

    Empower. Unite. Care. · MetroPlusHealth · is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of wh ...


  • MetroPlusHealth Long Island City, United States

    Empower. Unite. Care. · MetroPlusHealth · is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of wh ...


  • MetroPlusHealth New York, United States

    Job Description · Job DescriptionEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come ...


  • MetroPlusHealth New York, United States Regular, Full time

    Position Overview · Reporting to the Director of Provider Engagement, the Sr, Account Manager is responsible for the developing key provider relationships and driving high performance of key providers. Serving as the one-stop "Quarterback" for high profile groups, including coord ...


  • NYC Health Hospitals New York, United States

    MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchan ...


  • CINQCARE New York, United States

    CINQCARE · PROVIDER ENGAGEMENT ACCOUNT MANAGER – KEY ACCOUNTS · Position Description · Overview · The Provider Engagement Account Manager– Key Accounts is a business development position designed to cultivate and grow relationships with select contracted providers. This posit ...


  • Catholic Health Melville, United States

    Catholic Health Services of Long Island (CHS) is an integrated health care delivery system with some of the region's facilities including six hospitals, three skilled nursing facilities, and a regional home health service. · The CHS delivery system includes CHS Physician Partners ...

  • ICL

    lpn-11542701

    5 hours ago


    ICL Brooklyn, NY, United States

    NOTE: All applicants must comply with ICL/NYC's vaccination policy. Individuals selected for employment cannot begin working until they provide verification that they are fully vaccinated against COVID-19 (with an FDA-authorized vaccine). · #ICLRN · Under the supervision of the R ...


  • ICL Brooklyn, NY, United States

    NOTE: All applicants must comply with ICL/NYC's vaccination policy. Individuals selected for employment cannot begin working until they provide verification that they are fully vaccinated against COVID-19 (with an FDA-authorized vaccine) or submit and gain approval for a Medical ...

  • New York Congregational Nursing Center

    Registered Nurse

    1 week ago


    New York Congregational Nursing Center Brooklyn, United States Full time

    Registered Nurse (RN) Supervisor · *$5,000 Sign on Bonus* · New York Congregational Nursing Center is now hiring a full-time Registered Nurse (RN) Supervisor who is committed to providing the best care for our residents. We are a skilled nursing and rehabilitation facility that i ...

  • The Learning Experience

    PM Floater

    1 week ago


    The Learning Experience Brooklyn, United States

    Our Teachers: · Create a welcoming, engaging classroom space for young children to learn, play and grow · Instill a love for learning and exploration by utilizing our proprietary L.E.A.P Curriculum, which serves as the framework for creating and developing engaging lessons · Comm ...


  • Disability to Work Brooklyn, United States Full time

    Job DescriptionDuties may vary depending on programmatic areas of assignment · Conducts outreach to customers referred by HRA for the WeCARE program to schedule clinical assessments and/or to maintain engagement in the program once assigned to an activity (e.g. SSI/SSDI or Vocati ...

  • SCO Family of Services

    advocate counselor

    1 week ago


    SCO Family of Services Brooklyn, United States Full time

    Job Details · Description · POSITION SUMMARY: · East Brooklyn Community High School is a small Department of Education transfer high school that works in partnership and collaboration with SCO Family of Services to address the needs of the whole student. EBCHS is a school for s ...


  • Rising Ground Brooklyn, United States

    Overview · Job Title: Trainer, Criminalized Survivors Program, Rising Ground · Reports to: Director, Criminalized Survivors Program · Location: Downtown Brooklyn and Rikers (virtually and in-person when possible) · Status: Full-time · FLSA Status: Exempt ____________________ ...


  • Guitar Center Brooklyn, United States Full time

    Job Description · Pay Rate: $ - $;plus commission depending on background and experience. · The job posting is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any specific employee, which is always dependent on actual e ...


  • Brooklyn Friends School Brooklyn, United States Administration

    Associate Director of Alumni Relations & Development · Position Type Administration Start 07/01/2024 School Name City, State Brooklyn, NY Posted 04/01/2024 Please for full / fully formatted opportunity statement or go to the of our website. · POSITION STATEMENT · Associate Di ...


  • Cherokee Nation Businesses Brooklyn, United States Full time

    Community Associate Shift Supervisor · Please Note: This position is pending a contract award. If you are interested in a future with Cherokee Federal, APPLY TODAY Although this is not an approved position, we are accepting applications for this future and anticipated need. · T ...

  • SCO Family of Services

    PARENT ADVOCATE

    3 days ago


    SCO Family of Services Brooklyn, United States Part time

    Job Details · Description · Parent Advocate · ENHANCED FAMILY FOSTER CARE · SUMMARY: · SCO Family of Services is hiring Parent Advocates who will support parents with children in foster care to understand and navigate the foster care system, make decisions for their familie ...