Sign upLog in
Business Jobs

Provider Engagement Account Manager

Macpower Digital Assets Edge Private Limited

Atlanta, GA(remote)

Apply
JOB DETAILS
SALARY
$55,000–$80,000 Per Year
SKILLS
Alliance/Partner Management, Corporate Policies, Data Analysis, Health Plan, Healthcare Effectiveness Data and Information Set (HEDIS), Healthcare Providers, Improvement Metrics, Maintain Compliance, Managed Care, Metrics, Performance Analysis, Performance Management, Performance Metrics, Primary Care, Problem Solving Skills, Project/Program Management, Provider Contracting, Quality Metrics, Risk, Sales Management, Territory Management, Utilization Management
LOCATION
Atlanta, GA(remote)
POSTED
21 days ago
Position Overview: Maintain strong partnerships between the health plan and contracted provider networks. Serve as the primary contact for providers, addressing issues, improving performance, and ensuring quality care delivery.
  • Location: Georgia (Cobb, Dekalb, Fulton, or Gwinnett County)
  • Travel: Local travel up to 4 days per week
Key Responsibilities:
  • Build and maintain relationships with providers to support high-quality, cost-effective member care.
  • Serve as the main liaison between providers and the health plan.
  • Address and resolve provider-related issues in collaboration with internal teams.
  • Evaluate provider performance using data analytics and implement improvement strategies.
  • Drive enhancements in value-based metrics including Risk/P4Q, HBR, HEDIS, quality, cost, and utilization.
  • Conduct regular in-person meetings with physicians to review performance metrics and improvement opportunities.
  • Support provider engagement in value-based care models focused on quality outcomes and cost efficiency.
  • Manage assigned territory using consultative account management methods.
  • Complete assigned projects and ensure compliance with all company policies.
Education and Experience:
  • Bachelor's degree in a related field or equivalent experience.
  • Minimum two years of provider engagement or account management experience.
  • Background in managed care, health plan, IPA, or medical group settings.
  • Proficiency in HEDIS and quality measures, cost (MLR), and utilization management.
  • Experience in project management and value-based care conversations with providers.

About the Company

M

Macpower Digital Assets Edge Private Limited

Similar Job Searches

Acquisition Analyst JobsAcquisitions Manager JobsAlliance Manager JobsAnalytics Consultant JobsAnalytics Manager JobsBusiness Administrator JobsBusiness Advisor JobsBusiness Analyst JobsBusiness Assistant JobsBusiness Coach Jobs