Location: New York, NY
Company: Village Care
enhancement of provider relationships and compliance with all agency, state and federal regulations. Some essential job functions of this position will include: Networking, recruitment, onboarding, and ensuring provider data accuracy and compliance. Collaborate to support contracting efforts, ensuring a strategy to orient providers to contract terms, program requirements, and service coordination.
Serve as liaison between providers and Village Care MAX, conducting site visits as required. Frequently educate/re-educate providers to provider portal, provider manual, claim submissions, current benefits, required annual trainings (e. g. CMS Model of Care), shop initiatives, vaccine initiatives,
etc. Support Quality Management initiatives and implement policies, procedures, and workflows to improve service, quality and efficiency of provider relations.
Implement scorecard metrics and analyze data to monitor quality, improve service delivery, and member satisfaction. Develop relationships and identify opportunities for business development and growth. We would like to speak with those who have a minimum of 3 years job related experience , with 3-5 years of progressive leadership experience required. Bachelor's degree required , Master's degree preferred. Experience in managed care and working with Medicare/Medicaid providers and reimbursement methodologies. Travel within our provider
network community is required. There are many benefits to working for Village Care.
If you are someone who likes being part of a team, enjoys a highly competitive benefits package from world leading carriers and competitive compensation, than we would love to speak with you! PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, Additional Employee Discounts Village Care offers a wide range of at-home and community-based services, as well as managed long-term care options that seek to match each individual's needs to help them attain and maintain the greatest level of independent living possible.
We are committed to superior outcomes in quality health care. Village Care is an Equal Opportunity Employer. Job Posted by Applicant Pro
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