MTM, Inc.

Medicare Network Manager

MTM, Inc.

full-time

Posted on:

Location Type: Remote

Location: Maryland • Montana • United States

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Salary

💰 $50,000 - $60,000 per year

About the role

  • Work with the Transportation Provider (TP) to follow through on service issues, troubleshooting problems and concerns, complaints, and education
  • Utilize data to develop and deliver performance improvement plans (PIP)
  • Coordinate and conduct monthly provider performance evaluations
  • Conduct off boarding for providers not meeting standard expectations
  • Serve as the first point of contact for all vendor service requests and escalations
  • Own the day-to-day vendor interaction and satisfaction
  • Conduct on site vehicle inspections and provider audits to verify compliance with MTM and HIPAA guidelines
  • Deliver timely, accurate and professional operational support to all vendors within a specified geographic area and Service Level Agreements
  • Demonstrate proactive leadership by working with internal MTM teams and external client teams, when necessary, to ensure complete resolution of TP issues
  • Demonstrate proficiency by providing effective consultation to TP’s and guidance to internal team members
  • Utilize Salesforce as the single source of truth for managing vendor interactions and credentialing compliance
  • Recognize opportunities to educate TP’s contacts on MTM processes when necessary
  • Build and sustain a strong working partnership with assigned transportation providers
  • Assist with/participate/facilitate regular provider town hall meetings
  • Handle inbound service requests and ensure that they are properly assigned or addressed
  • Liaise with other internal departments as required to resolve vendor’s issues and questions
  • Provide ongoing support to transportation providers regarding claims, payments, eligibility, utilization management or any other questions impacting provider performance
  • Meet or exceed assigned KPI’s and business objectives
  • Meet all provider compliance requirements, including but not limited to inspections, audits and credentialing, ensuring non-compliant Vendors are not performing services for MTM
  • Submit provider configuration changes to data management team and partner with them to ensure vendor is set up properly in the systems

Requirements

  • High School diploma or GED
  • College Degree or Equivalent Work Experience
  • 2-5 years’ experience as an Account Manager
  • 2 years’ operational experience
  • Must possess a valid driver’s license
  • Must be able to conduct inspections, audits, communicate issues, and corrective actions from an authoritative position but with professional courtesy
Benefits
  • Health and Life Insurance Plans
  • Dental and Vision Plans
  • 401(k) with a company match
  • Flexible Scheduling
  • Paid Time Off and Holiday Pay
  • Maternity/Paternity Leave
  • Birthday Holiday
  • Casual Dress Environment
  • Tuition Reimbursement
  • MTM Perks Discount Program
  • Leadership Mentoring Opportunities
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
performance improvement plansvendor managementcompliance auditsdata analysisoperational supportinspectionscredentialingclaims managementutilization managementKPI management
Soft Skills
leadershipcommunicationproblem-solvinginterpersonal skillsprofessional courtesycollaborationeducationconsultationconflict resolutioncustomer service
Certifications
valid driver's license