Provider Relations Account Manager
Core
Manage and maintain relationships with health partners/providers to ensure operational efficiency, compliance, and retention within a managed care organization.
Role type
Provider Relations Account Manager
Builds
Provider relationships and operational improvements
Domain
Health insurance / Managed care
Deliverable
client delivery
Required skills
Relationship management, Operational analysis, Data analysis, Project management, Negotiation, Conflict resolution, Compliance monitoring, Field visit execution, Stakeholder engagement, Microsoft Office proficiency
Preferred skills
Experience in managed care organizations, Bachelor's in Business Administration
Technologies
Microsoft Office (Word, Excel, PowerPoint)
Responsibilities
Engage with providers to build and maintain relationships; Identify and execute solutions for provider escalations; Lead internal and external meetings with key stakeholders; Educate providers on operational updates; Analyze work processes and implement corrections; Perform provider outreach, field visits, and site evaluations for compliance; Utilize operational dashboards; Manage multiple projects and disseminate data; Document interactions and projects.
Seniority
Mid-level, hands-on IC