Provider Relations Account Manager

Job Summary :

The Provider Relations Account Manager is responsible for working in a highly matrixed organization and influencing internal stakeholder relationships. This role will engage with 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.

Essential Functions :

• Own the relationship with the Health Partner / Provider with a proactive focus on overall provider satisfaction and retention.
• Identify, solution, and execute on Health Partner / Provider escalations and systemic opportunities (including complex and / or non routine) for continuous operational improvement
• Prepare and lead internal and external meetings with key stakeholders
• Assure department deliverables are met with timely follow up
• Educate health partners / providers on, all operational updates
• Analyze current work processes, identify gaps and implement appropriate correction
• Responsible for maintaining strong internal relationships with key business partners
• Perform quality assurance reviews to ensure that provider information is loaded correctly and contracting terms are accurately operationalized.
• Perform provider outreach, field visits and site evaluations to ensure compliance with the provider contract, and state and federal requirements
• Develop and utilize key operational dashboards with providers
• Manage multiple projects, collect and analyze data and disseminate to appropriate departments as necessary
• Ensure appropriate documentation of interactions and projects
• Support Leadership in meeting annual goals
• Perform any other job duties as requested

Education and Experience :

Competencies, Knowledge and Skills :

Licensure and Certification :

Working Conditions :

Compensation Range :

$61,500.00 - $98,400.00 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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