Network Account Manager
Current- Serves as plan liaison for physicians/physician groups(IPA) in a specified geographical area;- Serves as the main point of contact for all plan related issues including marketing, enrollment, contracting, billing and reimbursement;- Responsible for the resolution of all issues, including those identified by the provider, and those identified internally that have an impact on the physician;- Coordinates with all Healthfirst staff to assist as appropriate, including creating project… Show more - Serves as plan liaison for physicians/physician groups(IPA) in a specified geographical area;- Serves as the main point of contact for all plan related issues including marketing, enrollment, contracting, billing and reimbursement;- Responsible for the resolution of all issues, including those identified by the provider, and those identified internally that have an impact on the physician;- Coordinates with all Healthfirst staff to assist as appropriate, including creating project plans, issue logs, conference calls, etc;- Responsible for the provider recruitment process;- Identifies gaps, complete paperwork, etc;- Schedules frequent and regular face-to-face contact with the practice locations to identify any issues and ensure plan visibility;- Keeps abreast of competitor activity, including new reimbursement and marketing strategies;- Conducts new provider orientation and identify opportunities for education on both clinical and administrative topics;- Includes experts in the field of education as needed from in-house staff;- Responsible for monitoring and reporting on providers' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement plans;- Contributes creative solutions and ownership of daily assignments for seamless communication and systematic completion of routine and special projects;- Engages in mastering the Division's impact on Healthfirst, its Members, and Providers. Show less