Amerigroup Work Values

Daily Duties at Amerigroup :

Contracted for and managed the Queens network, which included individual providers, groups, ancillaries, and behavioral health facilities. Collaborated with local and corporate management to ensure proper implementation of all contracts. Reviewed contracts for accuracy and ensured that contracts were up to date. Increased provider satisfaction through timely resolution of claims issues. • Saved the company $500,000 by initiating a root cause analysis of behavioral health claims • Project manager for Access and Availability • Re-contracted existing providers • Ensured that providers were contracted with current Medicaid or Medicare rates • Lead contractor for all behavioral health contracts • Coordinated with other internal resources, responsible for managing the timely and accurate loading of contracts • Provided expertise and assistance with guidelines relative to provider billing and payment • Analyzed network for adequacy in addressing members’ medical needs • Identified and recruited key providers to close network gaps

What they like about Amerigroup :

You give high priority to hiring firms with prestige. Market reputation and prestige of a firm may be determined through on-line research, and conversations with individuals working in your target industry. Note that firms "in the public eye" receive a great deal more critical publicity and attention than those operating with more anonymity. So as you assess your employment opportunities, be sure to seek out the positive aspects of the firm's reputation in addition to noting negative publicity the company may have received.

Tags

Provider Relations, Manager, Provider Contracting, Director, Provider Claims , Provider Data Management, Provider Credentialing , Provider Recruiting, Project Management, Project Manager, Management, Marketing Management, Medicare, Root Cause Analysis, Account Manager, Banking Industry

Skills

Project Management, Project Manager, Management, Marketing Management, Medicare, Root Cause Analysis, Account Manager, Banking Industry, MS Word, Excel, Sharepoint, Visio, Powerpoint, Salesforce, Outlook, Facets, Contracting, Credentialing, Network Management, Medicaid, Audit Reveiw, Leadership, Network Development

These are some of the questions we asked our climbers about their experiences with Amerigroup :