Growth Relationship Manager, MLTC/MAP Job at Healthfirst (New York)

Job Description

The Growth Relationship Manager, MLTC/MAP primarily manages a top-tier network of Licensed Home Care Agencies (LHCSAs) within their territory and/or ethnic community, to develop and maintain relationships for Integrated Products (MAP) and MLTC with the goal of keeping the Company and their Partners highly visible as an option for long-term care delivery. Growth Relationship Manager, MLTC/MAP serves as the primary point of contact for the top-tier providers, to resolve complex issues through diligent communication with multiple internal departments. This role also generates new referral sources with the responsibility of identifying those who focus on adults facing difficulties with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), and their LTC needs.

Job Responsibility

Serve as the lead relationship management liaison with specific top-tier accounts, for weekly/biweekly follow up meetings, or per MLTC MAP District Managers’ request
Grow the business by identifying new providers and referral sources, while meeting departmental guidelines
Manage a network of agencies, services, and professionals as referral sources, including but not limited to: Licensed Home Care Services Agencies (LHCSA), Certified Home Health Agency (CHHA), Naturally Occurring Retirement Communities (NORC) and Federally Qualified Health Centers (FQHC), Hospitals, Community Based Organizations (CBO), Nursing and Rehab Facilities (SNF), Religious Institutions, Social Workers, Internal Staff, etc.
Develop detailed marketing and growth plans for tiered agencies to improve on clinical quality of serviced membership, while ensuring mutual census growth for improved Quality Incentive payout potential
As a senior level member of the team, this role is responsible for training new hires and upskilling other team members
Growth Relationship Manager, MLTC/MAP should be able to take upon Ad-hoc projects and added responsibilities per MLTC MAP District Managers’ request
Identify common issues/concerns faced by top-tier providers, for expedited resolution through various internal channels
Develop an understanding of common claims/billing issues that may hinder or delay vendor payments
Utilize various electronic systems for submission and tracking of resolution SLAs with other internal departments
Identify and coordinate marketing events in conjunction with Community Engagement and/or partnering referral sources
Participate and create various community-related activities such as health fairs/screenings and informational seminars on long-term care
Conduct Benefits Education as per departmental guidelines at scheduled sites
Responsible for planning and submitting daily Plan of Action (POA) and End of Day (EOD) listing and summarizing daily activities
Coordinate presentations independently as per departmental guidelines
Must meet monthly referral and conversion goals per department guidelines
Recognize cultural sensitivity and needs of servicing communities
Manage multiple providers within a geographic area, for constant interaction with all
Reviewing and tracking referrals obtained from referral sources by: Providing periodic provider reports to track and inform referral statuses, Communicating with internal departments to assure referral conversion
Utilize Microsoft office tools (Outlook, Excel, PowerPoint) and other internal applications to track and report on referral sources as needed
Maintain a network log of all providers to track dates visited and outcome of the meeting/ visits
Meet minimum expectation of required provider visits as per departmental guidelines
Conduct administrative activities in assigned Community Offices (CO’s)

Requirements

High School Diploma or GED Equivalent
Field or background and experience working with minimal supervision
Must be bi-lingual with fluency in one or more of the following languages: Mandarin, Cantonese, Hindi, Bengali, Spanish, Haitian Creole
Knowledge of Medicaid, Medicare and/or Managed Long Term Care (MLTC) product lines and understanding of the values of Integrated Care
Driver’s License and ability to travel within the service area
Occasional overtime and weekend hours may be required
Maintain and demonstrate knowledge of all product lines to educate providers and consumers
Pass recurrent examinations per compliance and regulatory requirements

What we offer

medical, dental and vision coverage
incentive and recognition programs
life insurance
401k contributions

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Growth Relationship Manager, MLTC/MAP

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