Account Manager, Hospital Relations and Ancillary Relations (Health Plans)

About the role

VNS Health is seeking an experienced Account Manager – Hospital & Ancillary Relations to serve as a key liaison between VNS Health Plans and our hospital, health system, and ancillary provider partners. In this role, you will manage an assigned portfolio of complex provider relationships, supporting hospitals and ancillary providers in navigating health plan operations, resolving issues, and strengthening overall provider engagement and partnership. The Account Manager will work closely with hospital systems and a diverse range of ancillary providers, including laboratory and radiology, and other specialty providers. This role requires a strong understanding of managed care operations and the ability to coordinate across internal teams to address provider concerns and drive issues through resolution. This is an ideal opportunity for someone with health plan, hospital, health system, or ancillary provider experience who enjoys building strong provider relationships, understands healthcare operations, and knows how to bring the right stakeholders together to solve complex problems.

This isn't a sales role or a traditional contracting position. You'll be the relationship owner and operational partner for hospital and ancillary provider accounts. You'll work directly with provider leadership and operational teams while bringing together the appropriate VNS Health stakeholders to address concerns, resolve complex issues, improve provider operations, and strengthen long-term partnerships. The role provides an opportunity to have a direct impact on the provider experience, network performance, operational effectiveness, and ultimately the experience of VNS Health members.

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, partnering with the appropriate internal teams.
• Serve as a liaison between providers and internal VNS Health departments to ensure issues are appropriately escalated, tracked, communicated, and resolved.