Provider Engagement Account Manager (Healthcare)

Location: Remote role for qualified applicants currently residing in Oklahoma; local travel is required 4 days per week.

Salary: $56,200–$101,000 per year

Company

Health plan organization connecting members with care and supporting healthcare access and delivery.

What you will do

• Maintain partnerships with contracted provider networks and serve as the primary provider contact.
• Coordinate provider issues with internal partners, including claims issues, demographic changes, and operational requests.
• Educate providers on referrals, claims submission, website usage, EDI, policies, and procedures.
• Conduct provider orientations, ongoing education, and regular in-person physician visits.
• Manage network performance through a consultative account management approach and develop improvement strategies.
• Use performance data to improve risk, quality, cost, utilization, and patient care outcomes.

Requirements

• Bachelor’s degree in a related field or equivalent experience.
• At least two years of experience in managed care, medical groups, provider relations, quality improvement, claims, contracting, utilization management, or clinical operations.
• Project management experience in a medical group, IPA, or health plan setting.
• Proficiency with HEDIS and quality measures, cost, and utilization.
• Must currently reside in Oklahoma and be authorized to work in the U.S. without employment-based visa sponsorship.
• Employment-based visa sponsorship is not available now or in the future.

Culture & Benefits

• Flexible approach to remote, hybrid, field, and office work schedules.
• Health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off, and holidays.
• Work focused on improving healthcare access and outcomes for individuals, families, and communities.