Remote Provider Account Liaison/Provider Relationship Manager

Job Title: Remote Provider Account Liaison – Contract to Hire (Delaware – Remote)
Location: Delaware (Fully Remote)
Duration: Contract with Option for Full-Time Hire
Shift Schedule: Full-Time, Standard Business Hours
Job Type: Contract to Hire

About Sigma, Inc. (Staffing Agency)

Sigma, Inc. is a trusted staffing agency specializing in placing highly skilled professionals in healthcare, pharmaceutical, and medical device industries. We partner with leading organizations to provide experienced talent for clinical, administrative, and operational roles. As a staffing agency, we connect professionals with meaningful career opportunities and the opportunity to support programs that improve healthcare delivery and member outcomes.

Position Overview: Provider Account Liaison

Sigma, Inc. is currently recruiting a Provider Account Liaison for one of our healthcare clients supporting Medicaid provider network operations. This is a contract-to-hire opportunity with potential for full-time placement based on business needs and performance.

The Provider Account Liaison serves as the primary point of contact between provider groups within the organization’s network and the health plan. This role is responsible for developing and maintaining provider relationships, supporting provider education, improving operational efficiency, resolving provider concerns, and ensuring successful execution of healthcare programs and network initiatives.

The ideal candidate will have experience in provider relations, provider network management, managed care, Medicaid/Medicare, or health insurance operations and the ability to collaborate effectively with physician practices, healthcare organizations, and internal teams.

Key Responsibilities:

Provider Relationship Management:

• Serve as the primary liaison between assigned healthcare providers and the organization.
• Develop and maintain strong relationships with physician groups, medical practices, and provider organizations.
• Conduct provider meetings, outreach activities, education sessions, and ongoing communications.
• Identify provider challenges and proactively coordinate solutions.
• Represent the organization at provider meetings, industry events, and collaborative sessions.

Provider Network Support & Education:

• Support provider network strategies, contracting initiatives, and operational programs.
• Educate providers on healthcare policies, reimbursement updates, technology changes, and operational processes.
• Communicate updates related to Medicaid, Medicare Advantage, CMS requirements, and health plan procedures.
• Assist providers with understanding organizational policies, programs, and compliance expectations.

Issue Resolution & Operational Improvement:

• Identify provider concerns and coordinate resolution with internal operational teams.
• Partner with clinical, administrative, reimbursement, and project teams to improve provider experience.
• Act as a communication bridge between provider groups and internal stakeholders.
• Gather provider feedback and contribute recommendations for process improvements.

Project Management & Reporting:

• Support healthcare initiatives focused on improving quality outcomes, reducing costs, and enhancing member satisfaction.
• Utilize reports, analytics, and available tools to monitor provider performance and program effectiveness.
• Participate in projects related to provider operations, healthcare delivery, reimbursement models, and network initiatives.
• Manage multiple priorities while meeting deadlines and organizational goals.

Compliance & Documentation:

• Ensure provider activities comply with CMS, Medicaid, HIPAA, and organizational requirements.
• Maintain accurate documentation of provider interactions, communications, and issue resolutions.
• Follow established policies, procedures, and quality standards.

Other Duties:

• Perform additional responsibilities as assigned to support provider network operations and healthcare initiatives.

Qualifications:

Education & Experience:

• Bachelor’s degree in Business, Healthcare Administration, or related field preferred; equivalent healthcare experience considered.
• Minimum 3–5+ years of experience in healthcare, health insurance, managed care, Medicaid, Medicare, or provider relations.
• Experience working with provider networks, physician practices, healthcare organizations, or managed care organizations.
• Understanding of healthcare delivery models, reimbursement methodologies, and insurance operations.

Skills & Requirements:

• Strong provider relationship management and communication skills.
• Experience conducting presentations, provider education, or stakeholder meetings.
• Strong written and verbal communication abilities.
• Excellent problem-solving, negotiation, and conflict-resolution skills.
• Ability to manage multiple projects, priorities, and deadlines.
• Knowledge of CMS regulations, Medicaid/Medicare requirements, and HIPAA compliance.
• Proficiency with Microsoft Office applications including Word, Excel, and PowerPoint.
• Ability to work independently in a fully remote environment.

Preferred Qualifications:

• Experience working with Medicaid Managed Care Organizations (MCOs).
• Provider contracting or network development experience.
• Project management experience.
• Experience presenting healthcare concepts to different audiences.
• Knowledge of value-based care, reimbursement models, quality improvement initiatives, or healthcare analytics.

Additional Notes:

• Must be a US Citizen.
• Must reside in Delaware (DE).
• Position is fully remote.
• Candidates must complete a Provider Account Liaison assessment that includes video response questions.
• Interview process includes two rounds of interviews.

Why Work with Sigma, Inc.?

• Access contract-to-hire opportunities with leading healthcare organizations.
• Opportunity to transition into a long-term career role.
• Work on impactful healthcare initiatives supporting provider and member outcomes.
• Gain exposure to healthcare operations, provider networks, and managed care programs.
• Receive professional support throughout the hiring process.

How to Apply

If you are an experienced healthcare professional with a background in provider relations, managed care, Medicaid, Medicare, or health plan operations, apply now with your resume. Sigma, Inc. is committed to connecting qualified professionals with exceptional healthcare career opportunities.

Sigma, Inc. is an equal opportunity employer. We value diversity and inclusion in all our placements.