Provider Relationship Account Mgr (US)
Core
Manage relationships with the provider community to ensure quality, accessible, and comprehensive service, driving network retention and satisfaction.
Role type
Provider Relationship Account Manager
Builds
Provider network stability and satisfaction through relationship management and issue resolution
Domain
Healthcare / Managed Care
Deliverable
client delivery
Required skills
Provider relationship management, issue resolution, contract negotiation support, data analysis, stakeholder coordination, policy communication
Preferred skills
Experience in healthcare or provider environments, knowledge of managed care policies
Technologies
None explicitly stated
Responsibilities
Develop and maintain positive provider relationships through on-site and virtual visits; research, analyze, and coordinate resolution of complex provider issues and appeals; collaborate with internal partners to triage issues; coordinate Joint Operation Committees (JOC); assist with Annual Provider Satisfaction Surveys and corrective action plans; conduct proactive outreach on managed care policies and initiatives; report on provider utilization patterns impacting service quality; research issues impacting future contract negotiations.
Seniority
Mid-level, hands-on IC
