Director, Medical Provider Relations Long Island

Director, Medical Provider Relations Long Island

Position:  Director, Medical Provider Relations Long Island

Reports to:  Vice President, Medical Provider Relations

Location:  Long Island Region Remote, Residing in Nassau or Suffolk County is preferred.

Pay Grade: Salary, Exempt

Salary Range: $120,000 - $160,000  

Job Summary:

Medical Answering Service (MAS) Connects Medicaid enrollees to health care through non-emergency transportation because we believe healthier communities exist when its members have seamless access to healthcare. We do this with a diverse and compassionate team that reflects and understands the communities we serve. If you are looking for meaning and purpose in your work MAS will be the right place for you.  MAS is an organization with just under 400 employees working for the NY State Department of Health.

The Medical Provider Relations Director serves as a leader at MAS.  The Medical Provider Relations Director will work closely with NYS Department of Health, local and state officials, and medical providers to assist the success of the NYS Medicaid transportation program.  The Medical Provider Relations Director will develop and maintain close working relationships with medical providers, with a primary focus on health system executive leadership teams, within their assigned region.  The Director will coordinate MP Liaison activity within their assigned region.  Preferred candidates will be located in the Long Island Region, as regular travel is required within our Long Island territory.

Reporting to the Vice President of Provider Relations, the Medical Provider Relations Director will manage the everyday workings of the program, including, but not limited to, meet regularly with medical providers to address issues, provide in-service on the MAS system, review requirements of area contracts and ensure compliance within their assigned region. The Director will also meet regularly with Medical Provider Liaisons and MAS leadership team to identify, develop, and address statewide and regional initiatives.

Departmental Relationships:

Medical Provider Relations Director has frequent and significant contact with field operations, Transportation Provider Department, as well as other internal departments.

Responsibilities:

• Establish, foster and cultivate relationships between MAS and medical providers, with a primary focus on the executive leadership of health systems and high-volume medical facilities within assigned region
• Provide program guidance, structure, and leadership to execute medical provider oversight and goals
• Serve as control point to ensure proper documentation and process execution
• Manage health system dashboard metrics 
• Continuously review internal and external processes to improve efficiencies and performance of the Medical Provider Relations Department and medical providers
• Guide and support Medical Provider Liaisons
• Conduct regular Medical Provider Liaison meetings to communicate updates/changes to policy or procedure, provide education, and coordinate activities across all regions 
• Develop and maintain regional/topic specific training material and resources
• Manage Medical Provider Relations Key Performance Indicators (KPI)
• Support and assist with all potential and existing Preferred Provider Opportunities (PPO)

Expectations:

• Maintain records of all communication with medical provider stakeholders
• Maintain documentation and log interactions
  1. In-person meetings
  2. Phone/email interactions
• Document and monitor contact database and develop reports
• Collaborate and meet with internal Leadership teams as needed/required
• Participate in bi-weekly MAS leadership meetings

Qualifications:

• Demonstrates excellent medical provider relations management
• Empathy and compassion for individuals with the medical community, as well as a passion for improving access to critical services is a must for this candidate
• Possess and maintain a positive, courteous, and professional demeanor with all leadership colleagues, internal/external stakeholders, and all employees always, have proven expertise with healthcare in general, the overall Medicaid system, NEMT policies and procedures, and customer service excellence 
• Leadership skills include relationship building, communication, coaching, team building, accountability, and execution and project management
• Further skills include strategic planning, attention to detail/quality focus, problem solving, documentation skills, analyzing information, time management, multi-tasking, excellent written & verbal communication skills, and critical thinking skills
• MS Office (Outlook, Excel, Word, PowerPoint)
• Strong working knowledge of Medicaid rules and regulations preferred not required

Experience:

• Bachelor’s degree and 3 plus years of relevant experience in the medical, human services, or transportation fields preferred
• Other relevant experience may include:  Medical facility management personnel, practice management, account management, and/or education

Travel Requirements:

• Travel may encompass up to 50% or more within defined region
• Preferred candidates will be located in the Long Island Region, as regular travel may be required within the Long Island territory.

Equal Opportunity 

MAS provides equal employment opportunities to all employees and applicants for employment without regard to race, color, ancestry, national origin, gender, sexual orientation, marital status, religion, age, disability, gender identity, results of genetic testing, or service in the military. Equal employment opportunity applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training. MAS expressly prohibits any form of unlawful employee harassment or discrimination. Furthermore, it is the company policy not to discriminate against qualified individuals with disabilities in regard to application procedures, hiring, advancement, discharge, compensation, training or other terms, conditions and privileges of employment.