Healthfirst

The Manager, Network Account Management will lead an interdepartmental Account Team and apply in-depth account knowledge to strategize, develop and implement integrated strategies with high priority providers focused on strengthening provider engagement, enhancing quality and optimizing membership growth and profitability. This role will develop deep and effective provider relationships to support administrative ease and enhance the Healthfirst reputation as a “trusted partner”.

• Develop trusting and long-term relationships with all key decision makers/influencers, including senior leaders and physicians
• Local provider market knowledge and expertise with deep understanding of customer and provider needs
• Claims troubleshooting
• Leads the strategic planning and contracting process at the provider levels and supports the team in execution at the account level.
• Leads the interdepartmental strategic planning process at Healthfirst to develop and implement strategic action plans
• Drive profitable growth through leading the creation of customized winning solutions
• Work with Sales, Marketing, Operations, Clinical partnerships, Legal and other internal stakeholders to align resources and deliver on the business and clinical vision.
• Coordinate/leverage internal resources appropriately to promote administrative ease
• Negotiate provider agreements that support achievement of Healthfirst strategic goals
• Translate strategic goals into provider specific plans and activities.
• Understand emerging trends, network/market opportunities and competitive threats
• Understand Healthfirst products and how they provide benefit to customers.
• Partner with providers as they evolve.
• Support various project implementation and complete additional administrative duties as applicable

Minimum Qualifications:

• Experience in leading a team through a matrixed environment
• Experience in provider network management and development, or project management experience in a managed healthcare setting
• Experience in negotiating different provider contract types (physician, groups and ancillary providers)
• Familiarity with various provider compensation methodologies across Medicaid and Medicare lines of business for different provider types
• Experience working with an executive suite
• Exposure to multiple functions especially finance, business intelligence
• Bachelor’s Degree

Preferred Qualifications:

• MBA in Business and Health Services

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $100,900 - $145,775

• All Other Locations (within approved locations): $86,500 - $128,690

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. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.