Growth Relationship Manager, MLTCMAP
New York City, NY - USA
Job Summary
Marketing Activities:
- 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.
Territory Management:
Reporting to the MLTC MAP District Manager this field-based positions covers a defined territory throughout NYC and surrounding counties (the five boroughs Westchester and Nassau) as needed.
- 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 (COs).
Minimum Qualifications:
- 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
- Drivers 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.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race color creed religion sex national origin sexual orientation pregnancy age disability genetic information domestic violence victim status gender and/or gender identity or expression military status veteran status citizenship or immigration status height and weight familial status marital status or unemployment status as well as any other legally protected basis. HF Management Services LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
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 or 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 HF Management Services LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services LLC.
All hiring and recruitment at Healthfirst is transacted with a valid @ 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 @ 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.
Hiring Range*:
Greater New York City Area (NY NJ CT residents): $83100 - $120360
All Other Locations (within approved locations): $73400 - $109225
As a candidate for this position your salary and related elements of compensation will be contingent upon your work experience education licenses and certifications and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary Healthfirst offers employees a full range of benefits such as medical dental and vision coverage incentive and recognition programs life insurance and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in good faith would pay to a new hire or for a job promotion or transfer into this role.
Required Experience:
Manager
About Company
Healthfirst offers no- and low-cost Medicare Advantage, Medicaid, and Long-Term Care plans in NYC, Long Island, Rockland, Sullivan, and Westchester counties.