Director-ISNP Operations

<p><strong>AgeWell New York </strong>is seeking a&nbsp;<strong>Full Time Director for its Medicare Advantage Plan-Institutional Special Needs Plan (ISNP) Operations</strong>&nbsp;to join its team of health plan professionals. Conveniently located in Lake Success, NY,&nbsp;<strong>AgeWell New York&nbsp;</strong>is a&nbsp;managed care plan with diverse product lines rooted in the communities and culture of the New York metropolitan area.<br /><br /><br /><br /><br /><br /><br /><br /><br /><br /></p>

Lake Success, NY

AgeWell New York

<h1>Join the AgeWell New York Team</h1> <p>We offer competitive salaries, excellent benefit packages and the opportunity to work and exchange ideas with leaders in their fields of specialization. We work in a friendly, collaborative environment with exciting career-ladder opportunities.</p>

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Overview: <p>Understanding what it takes to support the senior and disabled populations across the continuum of health care needs,&nbsp;<strong>AgeWell New York Health Plans</strong>&nbsp;stands ready with dedicated professionals and expert staff, support resources, and comprehensive care coordination to help members optimize health care coverage and access to services. <br /><br />AgeWell New York Health Plans is seeking a Director of ISNP Operations, who will report to the Executive Director.&nbsp; This position will oversee the daily operations of the ISNP called CareWell, and integrate business development, care management and utilization management for the purpose of leading the CareWell team toward achieving program goals.<br /><br /></p> <p>This position offers a competitive salary supported by an excellent benefit package including health insurance, 401(k), paid time off, free parking and more.&nbsp; Qualified applicants are encouraged to apply immediately.</p>
Responsibilities: <p><strong>Key Responsibilities Include:</strong></p> <ul> <li>Serves as the key contact/strategic relationship executive for CareWell contracted facilities,</li> <li>Visits contracted facilities to train, transition and oversee staff</li> <li>Participates in contracting, model of care, process improvement and quality initiatives</li> <li>Serves as the operational lead for the NPs, ensuring that all requirements are met</li> <li>Works in collaboration with the Medical Director and other senior Clinical leadership to review and improve quality of care and related initiatives</li> <li>Responsible for quarterly financial performance reviews with contracted facility senior management, monthly sales/membership meetings, monthly staff meetings with CareWell staff, as well as weekly sales meetings</li> <li>Leads business development strategies and plans for sales, enrollment and retention. Ensures compliance with all Medicare and Medicaid program requirements, i.e., Medicare Marketing Guidelines and Enrollment regulations</li> <li>Prepares presentations and meets with the Executive Director to review and strategize on CareWell progress, issues identification and resolution, and continuous performance improvement</li> </ul>
Requirements: <p><strong>Position Qualifications:</strong></p> <ul> <li>Master's Degree in Business or Health Care Administration or equivalent level of experience. Clinical leadership/executive experience will be considered as well as other advanced clinical education and certifications</li> <li>7-10 years of professional experience in the health care field</li> <li>In-depth knowledge of Medicare Advantage and Part D program requirements, and knowledge of federal and state assistance programs</li> </ul>