Manager, Partnership Account - 100% remote, New York, NY

Created 01/14/2022
Reference 1145926
Job type Full Time
State NY
City New York
The Partnership Account Manager (PAM) will serve as the primary business contact for various partners to build and maintain the partner relationship. The PAM will be expected to consistently provide excellent customer service as well as oversight of SHP's and partners' needs/goals to ensure the highest level of quality. In addition, the PAM will/should build relationships with partners to encourage new and repeat business opportunities

- Reviews and maintains all major deliverables to ensure that quality standards and expectations are met. This includes, but is not limited to, responsibility for all partner communications, conflict resolution and compliance.
- Maintains constant two-way communication between SHP and the partner in order to set expectations and ensure that issues are dealt with in an expeditious manner. Identifies issues that need to be escalated to the Director of Care Management or designee.
- Provides partner oversight to ensure that all processes and procedures are completed and that all quality standards are met.
- Regularly conducts audits of assigned partners in order to evaluate performance as related to SHP/partner objectives.
- Ensures that partners understand SHP's policies/procedures and service modules, and provides assistance if/when necessary.
- Prepares and maintains reports and related data.
- Additional duties as assigned.

Minimum Qualifications:
  • HS diploma/GED

Preferred Qualifications:
  • Prior relevant experience
  • Licensed clinician
  • CCM certification
  • Supervisory or training experience
  • Knowledge of member satisfaction/incident management and regulations
  • Knowledge of quality improvement methodologies
  • Demonstrated professionalism and leadership skills along with ability to develop, direct, and support a vendor team
  • Time management, critical/creative thinking, communication, and problem-solving skills
  • Adept at planning, organizing, and executing
  • Knowledge of health insurance, Medicaid, Medicare and MLTCP
  • Care management experience in a clinical managed care environment and knowledge of best practices
  • Knowledge of UM/QM case philosophies and reporting requirements to state and federal agencies
  • Ability to allocate, monitor, and control resources while delegating and monitoring workloads
  • Ability to effectively manage performance as well as set and achieve goals

Please note: Since we care so greatly about our employees' and members' wellbeing, Healthfirst is moving to an environment where our employees are fully vaccinated against COVID-19. As a prospective new team member, you must be fully vaccinated with a CDC/FDA approved COVID-19 shot(s) to work in our offices. If you are selected to interview for this role, we will explain our vaccination policy in further detail and ensure you are comfortable moving forward with this company policy.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to 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.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.
Employer Healthfirst Inc.

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