Healthfirst

The Growth Relationship Manager, MLTC/MAP primarily manages a top-tier network of Licensed Home Care Agencies (LHCSAs) within their territory and/or ethnic community, to develop and maintain relationships for Integrated Products (MAP) and MLTC with the goal of keeping the Company and their Partners highly visible as an option for long-term care delivery. Growth Relationship Manager, MLTC/MAP serves as the primary point of contact for the top-tier providers, to resolve complex issues through diligent communication with multiple internal departments. This role also generates new referral sources with the responsibility of identifying those who focus on adults facing difficulties with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), and their LTC needs.

Marketing Activities:

• Serve as the lead relationship management liaison with specific top-tier accounts, for weekly/biweekly follow up meetings, or per MLTC MAP District Managers’ request
• Grow the business by identifying new providers and referral sources, while meeting departmental guidelines 
• Manage a network of agencies, services, and professionals as referral sources, including but not limited to:  
• Licensed Home Care Services Agencies (LHCSA), Certified Home Health Agency (CHHA), Naturally Occurring Retirement Communities (NORC) and Federally Qualified Health Centers (FQHC), Hospitals, Community Based Organizations (CBO), Nursing and Rehab Facilities (SNF), Religious Institutions, Social Workers, Internal Staff, etc. 
• Develop detailed marketing and growth plans for tiered agencies to improve on clinical quality of serviced membership, while ensuring mutual census growth for improved Quality Incentive payout potential. 
• As a senior level member of the team, this role is responsible for training new hires and upskilling other team members 
• Growth Relationship Manager, MLTC/MAP should be able to take upon Ad-hoc projects and added responsibilities per MLTC MAP District Managers’ request. 
• Identify common issues/concerns faced by top-tier providers, for expedited resolution through various internal channels. 
• Develop an understanding of common claims/billing issues that may hinder or delay vendor payments. 
• Utilize various electronic systems for submission and tracking of resolution SLAs with other internal departments. 
• Identify and coordinate marketing events in conjunction with Community Engagement and/or partnering referral sources. 
• Participate and create various community-related activities such as health fairs/screenings and informational seminars on long-term care. 
• Conduct Benefits Education as per departmental guidelines at scheduled sites. 
• Responsible for planning and submitting daily Plan of Action (POA) and End of Day (EOD) listing and summarizing daily activities. 
• Coordinate presentations independently as per departmental guidelines. 
• Must meet monthly referral and conversion goals per department guidelines.  
• Recognize cultural sensitivity and needs of servicing communities.  

Territory Management:

Reporting to the MLTC MAP District Manager, this field-based positions covers a defined territory throughout NYC and surrounding counties (the five boroughs, Westchester and Nassau) as needed.  

• Manage multiple providers within a geographic area, for constant interaction with all. 
• Reviewing and tracking referrals obtained from referral sources by: 
• Providing periodic provider reports to track and inform referral statuses. 
• Communicating with internal departments to assure referral conversion.   
• Utilize Microsoft office tools (Outlook, Excel, PowerPoint) and other internal applications to track and report on referral sources as needed. 
• Maintain a network log of all providers to track dates visited and outcome of the meeting/ visits. 
• Meet minimum expectation of required provider visits as per departmental guidelines. 
• Conduct administrative activities in assigned Community Offices (CO’s). 

Minimum Qualifications:

• High School Diploma or GED Equivalent 
• Field or background and experience working with minimal supervision 
• Must be bi-lingual with fluency in one or more of the following languages: Mandarin, Cantonese, Hindi, Bengali, Spanish, Haitian Creole 
• Knowledge of Medicaid, Medicare and/or Managed Long Term Care (MLTC) product lines and understanding of the values of Integrated Care 
• Driver’s License and ability to travel within the service area 
• Occasional overtime and weekend hours may be required. 
• Maintain and demonstrate knowledge of all product lines to educate providers and consumers  
• Pass recurrent examinations per compliance and regulatory requirements. 

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $83,100 - $120,360

• All Other Locations (within approved locations): $73,400 - $109,225

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.