Provider Relations Account Manager
New
J
JobgetherHealthcare
United StatesFull-TimeManager
Salary107,744 - 125,350 USD per year
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Job Details
- Experience
- At least 5 years of relevant professional experience
- Required Skills
- ComplianceRelationship management
Requirements
- Bachelor’s degree or equivalent professional experience.
- At least 5 years of relevant professional experience.
- Hands-on knowledge of all eight Clinical Centers of Excellence (CCEs) organizational structures and workflows.
- Direct experience supporting or collaborating with federal healthcare programs.
- Familiarity with CDC program standards and compliance expectations.
- Proven experience managing executive-level provider relationships within large health systems.
- Strong background in provider network management, healthcare operations, or care coordination.
- Demonstrated ability to translate complex healthcare program requirements into actionable plans.
- Excellent communication and diplomacy skills with experience engaging senior healthcare leadership.
- Ability to work effectively in a fully remote environment.
- Ability to pass a Moderate Background Investigation (MBI/T2).
Responsibilities
- Serve as the central point of contact for all eight Clinical Centers of Excellence, ensuring clear communication and effective coordination.
- Build and maintain trusted, executive-level relationships with CCE leadership.
- Serve as the internal subject matter expert on CCE-specific workflows, case management models, and operational requirements.
- Coordinate CCE-related activities across Benefits Administration, Member Services, Claims, and Provider Network Management teams.
- Lead recurring business reviews with CCEs covering performance metrics, operational priorities, and compliance.
- Manage escalations and coordinate cross-functional responses to resolve member-impacting issues.
- Supervise and manage a minimum of two staff members.
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