LTSS Provider Relations Account Manager

Job Summary :

The LTSS Provider Relations Account Manager is responsible for working in a highly matrixed organization and influencing internal stakeholder relationships. This role will engage with LTSS and HCBS providers to build, manage and maintain relationships, with a strong focus on operational efficiencies, proactive engagement, and reduced burden which all leads to retention of provider relationships and improving member access to care.

Essential Functions :

• Own the relationship with LTSS and HCBS providers with a proactive focus on overall provider satisfaction and retention
• Develop, maintain, and enhance relationships with key stakeholders including relevant provider associations.
• Act as a liaison and SME to providers and operations for the LTSS / HCBS provider network
• Work as community partner to assist LTSS / HCBS providers; develop education and establishing a proactive process for these providers.
• Work in collaboration with Operations and other internal stakeholders on provider issues including researching providers claim issues and provide a professional and comprehensive response to providers
• Work with leadership team to define deliverables and timelines
• Improve Electronic Visit Verification compliance rates for provider network
• Perform virtual and in-person initial onboarding and ongoing education to provider network.
• Prepare and lead internal and external meetings with key stakeholders
• Assist with the implementation of strategy on independent provider network
• SME for Waiver services for internal and external stakeholders
• Collaborate with Care Management, Incident Management and SIU to ensure providers are educated on billing practices.
• Provide education to internal and external partners on LTSS and HCBS services, billing, and portal support
• Responsible for understanding and educating providers on regulation changes
• Collaborate with leadership to ensure initiatives are properly managed
• Produce detailed reports, executive summaries, and business decision documents
• Provide clarification / verification for all levels regarding status / details
• May support other lines of business as needed
• Perform any other job duties as requested

Education and Experience :

Competencies, Knowledge and Skills :

Licensure and Certification :

Working Conditions :

Compensation Range :

$81,400.00 - $130,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type : Salary

Competencies :

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

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