Welcome page Returning Candidate? Log back in! Job Locations US-NY-New York Req # 2520 Agency Elderplan Status Regular Full-Time Location : Postal Code 10041 Category Provider & Network Contracting Office or Field Hybrid Overview

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Why work for MJHS?

When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No?  You will here!  You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals.  You take care of our patients, residents and health plan members, and we will take care of the rest!

 

Benefits include:

Tuition Reimbursement for all full and part-time staff
Generous paid time off
Affordable medical, dental and vision coverage for employee and family members
Two retirement plans! 403(b) AND Employer Paid Pension
Flexible spending
And MORE!

 

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities

Responsible for various initiatives involving network management, including but not limited to contracting, quality improvement, and reimbursement strategies. This includes managing day to day operations for all activities related to various provider types and optimizing contract performance. Works in collaboration with the operations team (Enrollment, Medical Management, Utilization Management, Member Services, Claims, Configuration, Sales, Product, Compliance and Provider Services) to achieve the organizational goal of providing members with quality and cost-effective services.

Qualifications High School diploma or equivalent, required. Bachelor’s Degree, preferred.Minimum two (2) years of provider service and/or contracting experience required. Familiarity with Managed Care, NYSDOH State and CMS federal regulations is preferred.Strong analytical, written, and oral communication skills. Must be detailed oriented. Ability to function with minimal supervision. Min USD $68,838.31/Yr. Max USD $82,605.97/Yr. Options Apply for this job onlineApplyShareRefer this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Application FAQs

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