Req #:
1879

Job ID:
13428

Job Location:
New York, NY

Zip Code:
10040

Category:
Provider & Network Contracting

Agency:
Elderplan

Status:
Regular Full-Time

Office:
Hybrid

Salary:
$38,546.00 - $48,182.00 per year

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Why work for MJHS?:

When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No? You will here! You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals. You take care of our patients, residents and health plan members, and we will take care of the rest!

Benefits include:

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off
• Affordable medical, dental and vision coverage for employee and family members
• Two retirement plans ! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities:

Reviewing and submitting provider applications for credentialing. Review new provider applications for completeness and obtain any missing information from CAQH or the provider’s office as applicable. Submit applications to credentialing for processing. Review and prepare Elderplan contracts for execution according to the Elderplan/NPO policy and procedures. Track all applications sent to credentialing. Maintain the contract tracking database for all new contracts. Update correspondence log for all interactions with the provider.

Qualifications:

• High School diploma or equivalent, required. College degree, preferred.
• Two years’ experience working within a managed care or related setting, highly preferred.
• Proficient in Health Rules, Visual Cactus, and Microsoft Office (Word, Excel, and Access)