Geisinger Health System Account Manager in DANVILLE, Pennsylvania
Job Title: Account Manager
Location: Geisinger Health Plan, Hughes
Department: Provider Network Management
Work Type: Full Time
Job Summary :
This role is responsible for the day to day relationships with GHP partners and providers.
This role is responsible for provider recruitment, contracting and relationship management. This role will help manage the implementation of and all lifecycle activities of a partnership and/or relationship.
This role is responsible for responding to complex inquiries, solving non-routine problems using independent judgment and discretion, and ensuring partner and/or provider satisfaction. This role will provide support and will act as a technical resource regarding policies, procedures, workflows, complex partner/provider issues and training needs.
Competencies and Skills:
Demonstrates a comprehensive understanding of complex financial arrangements and quality programs across health care products.
Demonstrates a strong knowledge of the healthcare market.
Demonstrates exceptional financial, analytical and problem solving skills, and understanding of legal documents.
Demonstrates excellent communications skills, written, verbal and presentation.
Ability to work independently and must be self-directed, must also be able to work in team environment to reach goals and objectives
Demonstrates substantive knowledge of managed care policy and direction.
Education and or Experience:
BA/BS Bachelor’s degree required.
Minimum 5 years of contract and network management experience required.
Knowledge of ICD, HCPCS, and CPT codes desired.
Requires possession of a valid driver's license.
Working Conditions/Physical Demands:
Work is typically performed in an office environment. Must be willing to independently travel and be willing to accept occasional overnight travel requests. May require evening and weekend work hours.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.