Strategic Hospital & Ancillary Provider Relations Manager

VNS Health; New York (NY); On-site; USD 51,000 - 63,000; Full time

Benefits offered by this job

Referral bonus opportunities

Generous PTO and holidays

Health insurance for you and family

Employer-matched 401k

Job summary

VNS Health seeks an experienced Account Manager – Hospital & Ancillary Relations to serve as a key liaison between VNS Health Plans and hospital, health system, and ancillary provider partners in New York. You will manage complex provider relationships, coordinate across internal teams, and drive resolution of issues affecting provider engagement and patient care.

The role emphasizes relationship ownership, operational partnership, and ongoing education of providers on policies,

Qualifications

• Licenses: Drivers license required
• Bachelor's Degree or equivalent related work experience in healthcare, business, public health, health services, or related field
• Minimum three years of experience in provider relations, account management, managed care, healthcare operations, network management, contracting, or related healthcare field
• Experience with government-sponsored programs (Medicare/Medicaid) preferred

Responsibilities

• Manage an assigned portfolio of hospital, health system, and ancillary provider relationships, serving as a primary point of contact for provider leadership and key operational stakeholders
• Build and maintain strong, collaborative provider relationships through regular meetings, business reviews, site visits, provider education, and ongoing communication
• Support hospitals and ancillary providers in navigating VNS Health Plans' operational processes, requirements, programs, and initiatives
• Coordinate the resolution of complex provider issues involving claims, billing, payment, configuration, credentialing, contracting, utilization management, quality, compliance, authorizations, provider data, and member services
• Serve as a liaison between providers and internal VNS Health departments to ensure issues are appropriately escalated, tracked, communicated, and resolved
• Educate hospital and ancillary provider partners on VNS Health Plans policies, procedures, operational requirements, Medicare and Medicaid programs, regulatory requirements, and new initiatives
• Support the implementation and ongoing administration of provider agreements in partnership with Contracting, Network, Provider Data, Operations, Claims, Quality, Utilization Management, and other applicable teams
• Review provider performance, operational, and utilization data to identify trends, discrepancies, risks, service issues, and opportunities for improvement
• Identify recurring or systemic provider issues and collaborate with internal stakeholders to support sustainable solutions and process improvements
• Conduct or support hospital and ancillary provider meetings, operational reviews, and site visits, ensuring provider concerns, action items, and commitments are documented and followed through
• Support provider onboarding, operational readiness, new program implementations, and changes impacting hospital and ancillary provider partners

Skills

Relationship management

Communication

Presentation

Organization

Problem-solving

Education

Bachelor's Degree or equivalent

Job description

VNS Health seeks an experienced Account Manager – Hospital & Ancillary Relations to serve as a key liaison between VNS Health Plans and hospital, health system, and ancillary provider partners in New York. You will manage complex provider relationships, coordinate across internal teams, and drive resolution of issues affecting provider engagement and patient care.

The role emphasizes relationship ownership, operational partnership, and ongoing education of providers on policies,