Job Description
Job Description
Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected, and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked, and each employee is valued.
Must work on Palm Beach Area
Solis offers competitive benefits including:
- Paid Time Off
- Paid Holidays
- Paid Long Term Disability & Life Insurance policy
- 401k Matching Program
- Health, Vision & Dental Insurance
- Critical Illness, Hospital and Accident Insurance
- Legal & Transit benefits
- Employee Appreciation Events
- Positive Supportive & Safe Work Environment
- Growth Opportunities
POSITION SUMMARY
The Provider Network Manager is responsible for developing and retaining business and providing excellent service to clients in the specified geographic region. The ideal person will have proven experience building on existing relationships, eliminating competitive threats within our network base, and ensuring satisfaction within our accounts.
ESSENTIAL DUTIES & RESPONSIBILITIES
- Generates and develops new business to meet specified production goals.
- Maintains and nurtures existing client relationships.
- Responds to all inquiries and requests in a timely and professional manner.
- Functions as liaison between client companies and operations staff.
- Understands and communicates information regarding company products, services, and policies and procedures to new and existing clients.
- Possesses and maintains thorough knowledge of Medicare Advantage Plan product information.
- Continually gathers information on local competition and prevalent industry and business climate within the region; communicates information to management and others as needed.
- Negotiates contracts and work agreements.
- Ensures that all required client paperwork is complete, accurate, and submitted on time.
- Provides timely and accurate reports as required.
- Attends and participates in business/trade events that impact business unit.
- Attends and participates in team strategic sales meetings.
- Performs other related duties as assigned by management
QUALIFICATIONS & EDUCATION
- Bachelor's degree (B. A.) or equivalent, one to two years of experience, or equivalent combination of education and experience.
- 2 years Medicare Advantage Plan
- Provider Network experience
- Must be a self-starter and proactive.
- Commitment to excellence and high standards.
- Excellent written and verbal communication skills.
- Good judgement with the ability to make timely and sound decisions
- Creative, flexible, and innovative team player
- Demonstrated ability to make successful presentations to individuals and/or groups at all levels of an organization
- Strong organizational skills; able to manage priorities and workflow.
- Ability to work independently and as a member of various teams and committees.
- Ability to calculate figures and amounts such as discounts, interest, commissions, and percentages.
- Excellent problem resolution and consultative sales skills.
- Proven ability to handle multiple projects and meet deadlines
- Strong interpersonal skills.
- Ability to prepare reports and business correspondence.
- Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.
This Job Description may be modified at any time at the discretion of the employer as business operation may deem necessary.
The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate.
EQUAL OPPORTUNITY
Solis Health Plans provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.