SHSMD Career Center
Account Manager Geisinger Health Plan
Geisinger
Job Title: Account Manager Location: Danville, PA Department: Geisinger Health Plan Work Type: Full Time
JOB SUMMARY: The successful candidate will be responsible for: *Day to day relationships with GHP partners and providers. *Provider recruitment, contracting and relationship management. *Manage the implementation of and all lifecycle activities of a partnership and/or relationship. *Responding to complex inquiries, solving non-routine problems using independent judgment and discretion, and ensuring partner and/or provider satisfaction *Providing 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.
The specific statements shown above are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
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.
GEISINGER HEALTH PLAN (GHP) is the health insurance component of Geisinger and serves over 460,000 members in Pennsylvania and West Virginia. Begun in 1985, GHP provides high quality, affordable health-care benefits for businesses of all sizes, individuals and families, and Medicare beneficiaries.
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.
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