LTSS Provider Relations Account Manager-Must Travel to Dayton & Cincinnati Metro Areas
Core
Manage relationships with LTSS and HCBS providers to ensure operational efficiency, retention, and improved member access to care.
Role type
Provider Relations Account Manager
Builds
LTSS/HCBS provider network and member access to care
Domain
Healthcare / Long-Term Services and Supports (LTSS) / Home and Community-Based Services (HCBS)
Deliverable
client delivery
Required skills
Account management, claims operations, provider relations, Medicaid/Medicare knowledge, contract translation, stakeholder liaison, education/training, report generation, regulatory compliance
Preferred skills
Facets system experience, accreditation experience
Technologies
Microsoft Office (Project, Word, Excel), Facets
Responsibilities
Own provider relationships and drive satisfaction/retention; Act as SME for Waiver services and provider network operations; Collaborate on billing practices and claim issue resolution; Conduct onboarding and education for providers; Produce executive summaries and business decision documents; Ensure Electronic Visit Verification compliance.
Seniority
Mid-level, hands-on IC