Geisinger Health System Account Manager (GHP) in WILKES BARRE, Pennsylvania
JOB TITLE: Account Manager (GHP)
LOCATION: GHP Eeastern Region Office
DEPARTMENT: Geisinger Health Plan
WORK SCHEDULE: Days
WORK TYPE: Full Time
This role is responsible for building and maintaining the day to day relationships with GHP partners and providers.
This role will help manage the implementation of 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.
This role will also work to improve provider quality and efficiency using a variety of data sets, tools and negotiation techniques.
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 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.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to successfully perform the job.
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.
One of the nation’s most innovative health services organizations, Geisinger serves more than 1.5 million patients in Pennsylvania and New Jersey. The system includes 13 hospital campuses, a nearly 600,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. Geisinger is known for its focus on caring and innovative programs including the ProvenCare® best-practice approach to maximize quality, safety and value; ProvenHealth Navigator® advanced medical home; Springboard Health® population health program to improve the health of an entire community; ProvenExperience™ to provide refunds to patients unhappy with their care experience; and Geisinger’s MyCode® Community Health Initiative, the largest healthcare system-based precision health project in the world. With more than 215,000 volunteer participants enrolled, MyCode is conducting extensive research and returning medically actionable results to participants. A physician-led organization, with approximately 32,000 employees and more than 1,800 employed physicians, Geisinger leverages an estimated $12.7 billion positive annual impact on the Pennsylvania and New Jersey economies. Repeatedly recognized nationally for integration, quality and service, Geisinger has a long-standing commitment to patient care, medical education, research and community service. For more information, visit geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter.
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.
** 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.