Provider Engagement Account Manager (Healthcare)

Location: Remote in Kansas, with candidates required to live in Kansas City, Kansas; local travel is required four days per week.

Salary: $56,200–$101,000 per year

Company

hirify.global provides health plan services that connect people with accessible and effective healthcare.

What you will do

• Serve as the primary contact and liaison for contracted healthcare providers.
• Triage, investigate, resolve, and communicate provider issues, including claims and demographic changes.
• Educate providers on referrals, claims submission, website usage, EDI, policies, and procedures.
• Conduct provider orientations and maintain orientation and education materials.
• Manage network performance through consultative account management and provider accountability.
• Evaluate provider performance and drive improvements in risk, quality, cost, utilization, and incentive measures.

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 healthcare quality measures, cost, and utilization.
• Must live in Kansas City, Kansas and be able to travel locally four days per week.

Nice to have

• Strong knowledge of Kansas HCBS and LTSS waiver programs, including eligibility, service delivery, and regulatory requirements.

Culture & Benefits

• Remote, hybrid, field, and office work schedules are supported depending on the role.
• Health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off, and holidays are offered.
• Work focuses on improving healthcare access and outcomes for individuals, families, and communities.
• hirify.global supports an inclusive workplace and equal employment opportunity.