PROLIM (www.prolim.com) is currently seeking Provider Engagement Account Manager for one of our top Client for Location - Remote - Territory is Bartow County, GA but candidate can live in Cherokee ...
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PROLIM (www.prolim.com) is currently seeking Provider Engagement Account Manager for one of our top Client for Location - Remote - Territory is Bartow County, GA but candidate can live in Cherokee ...
Quick apply
PROLIM (www.prolim.com) is currently seeking Provider Engagement Account Manager for one of our top Client for Location - Remote - Territory is Bartow County, GA but candidate can live in Cherokee ...
PROLIM (www.prolim.com) is currently seeking Provider Engagement Account Manager for one of our top Client for Location - Remote - Territory is Bartow County, GA but candidate can live in Cherokee ...
PROLIM (www.prolim.com) is currently seeking Provider Engagement Account Manager for one of our top Client for Location - Remote - Territory is Bartow County, GA but candidate can live in Cherokee ...
Houston, TX ยท On-site
$144K - $181K/yr
About Us Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO ... Job Profile JOB SUMMARY The Director, Provider Engagement is responsible for leading the health ...
Houston, TX ยท On-site
$144K - $181K/yr
About Us Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO ... Job Profile JOB SUMMARY The Director, Provider Engagement is responsible for leading the health ...
Indianapolis, IN ยท On-site +1
Demonstrated ability to manage multiple projects and meet deadlines * Comprehensive knowledge of all Microsoft Office applications * Must be located within the State of Indiana with the ability to ...
Indianapolis, IN ยท On-site +1
Demonstrated ability to manage multiple projects and meet deadlines * Comprehensive knowledge of all Microsoft Office applications * Must be located within the State of Indiana with the ability to ...
Indianapolis, IN ยท On-site +1
Demonstrated ability to manage multiple projects and meet deadlines * Comprehensive knowledge of all Microsoft Office applications * Must be located within the State of Indiana with the ability to ...
Indianapolis, IN ยท On-site +1
Demonstrated ability to manage multiple projects and meet deadlines * Comprehensive knowledge of all Microsoft Office applications * Must be located within the State of Indiana with the ability to ...
Indianapolis, IN ยท On-site +1
Demonstrated ability to manage multiple projects and meet deadlines * Comprehensive knowledge of all Microsoft Office applications * Must be located within the State of Indiana with the ability to ...
Indianapolis, IN ยท On-site +1
Demonstrated ability to manage multiple projects and meet deadlines * Comprehensive knowledge of all Microsoft Office applications * Must be located within the State of Indiana with the ability to ...
Demonstrated ability to manage multiple projects and meet deadlines * Comprehensive knowledge of all Microsoft Office applications * Must be located within the State of Indiana with the ability to ...
Demonstrated ability to manage multiple projects and meet deadlines * Comprehensive knowledge of all Microsoft Office applications * Must be located within the State of Indiana with the ability to ...
$42K - $48K/yr
Uses a consultative approach, emphasizing physician engagement and behavior change through ... Experience with various managed health care provider compensation methodologies including but not ...
$42K - $48K/yr
Uses a consultative approach, emphasizing physician engagement and behavior change through ... Experience with various managed health care provider compensation methodologies including but not ...
Baton Rouge, LA ยท On-site +1
$75K - $90K/yr
Manage provider relationships and drive engagement within your assigned territory or specific market and/or focus on a specialized population. * Execute strategic initiatives, including supporting ...
Baton Rouge, LA ยท On-site +1
$75K - $90K/yr
Manage provider relationships and drive engagement within your assigned territory or specific market and/or focus on a specialized population. * Execute strategic initiatives, including supporting ...
Camp Hill, PA ยท On-site +1
Perform management responsibilities to include, but are not limited to: involved in hiring and ... to optimize provider engagement strategies. * Ensure efficient and impactful communication ...
Camp Hill, PA ยท On-site +1
Perform management responsibilities to include, but are not limited to: involved in hiring and ... to optimize provider engagement strategies. * Ensure efficient and impactful communication ...
Seattle, WA ยท On-site
$83K - $101K/yr
Uses a consultative approach, emphasizing physician engagement and behavior change through ... Experience with various managed health care provider compensation methodologies including but not ...
Seattle, WA ยท On-site
$83K - $101K/yr
Uses a consultative approach, emphasizing physician engagement and behavior change through ... Experience with various managed health care provider compensation methodologies including but not ...
Uses a consultative approach, emphasizing physician engagement and behavior change through ... Experience with various managed health care provider compensation methodologies including but not ...
Uses a consultative approach, emphasizing physician engagement and behavior change through ... Experience with various managed health care provider compensation methodologies including but not ...
Wilkes Barre, PA ยท On-site +1
Perform management responsibilities to include, but are not limited to: involved in hiring and ... to optimize provider engagement strategies. * Ensure efficient and impactful communication ...
Wilkes Barre, PA ยท On-site +1
Perform management responsibilities to include, but are not limited to: involved in hiring and ... to optimize provider engagement strategies. * Ensure efficient and impactful communication ...
Perform management responsibilities to include, but are not limited to: involved in hiring and ... to optimize provider engagement strategies. * Ensure efficient and impactful communication ...
Perform management responsibilities to include, but are not limited to: involved in hiring and ... to optimize provider engagement strategies. * Ensure efficient and impactful communication ...
Long Beach, CA ยท Remote
$65K - $115K/yr
Job Summary Leads and manages team responsible for health plan provider engagement activities. Collaborates with senior leadership and the health plan network team to drive value-based care ...
Long Beach, CA ยท Remote
$65K - $115K/yr
Job Summary Leads and manages team responsible for health plan provider engagement activities. Collaborates with senior leadership and the health plan network team to drive value-based care ...
Job Summary Leads and manages team responsible for health plan provider engagement activities. Collaborates with senior leadership and the health plan network team to drive value-based care ...
Job Summary Leads and manages team responsible for health plan provider engagement activities. Collaborates with senior leadership and the health plan network team to drive value-based care ...
Apex, NC ยท On-site
$36K - $41K/yr
Provider Engagement Specialist (Field-Based) Overview: The Provider Engagement Specialist supports ... Minimum 1 year of experience in provider relations, contracting, or network management within an ...
Apex, NC ยท On-site
$36K - $41K/yr
Provider Engagement Specialist (Field-Based) Overview: The Provider Engagement Specialist supports ... Minimum 1 year of experience in provider relations, contracting, or network management within an ...
Long Beach, CA ยท On-site +1
$65K - $142K/yr
Job Summary Leads and manages team responsible for health plan provider engagement activities. Collaborates with senior leadership and the health plan network team to drive value-based care ...
Long Beach, CA ยท On-site +1
$65K - $142K/yr
Job Summary Leads and manages team responsible for health plan provider engagement activities. Collaborates with senior leadership and the health plan network team to drive value-based care ...
The Director of Quality and Provider Engagement will collaborate closely with clinical and ... Partner with IT, Data, and Accounting to manage the distribution of quality incentives, risk ...
The Director of Quality and Provider Engagement will collaborate closely with clinical and ... Partner with IT, Data, and Accounting to manage the distribution of quality incentives, risk ...
$40K - $47K/yr
The Behavioral Health Provider Engagement Specialist III is responsible for provider contracting ... Managed care experience is required * NCQA PCMH experience is preferred Competencies, Knowledge and ...
$40K - $47K/yr
The Behavioral Health Provider Engagement Specialist III is responsible for provider contracting ... Managed care experience is required * NCQA PCMH experience is preferred Competencies, Knowledge and ...
$27K - $37K
8% of jobs
$37K - $46.9K
8% of jobs
$53.5K is the 25th percentile. Wages below this are outliers.
$46.9K - $56.9K
13% of jobs
$56.9K - $66.8K
13% of jobs
The median wage is $72.5K / yr.
$66.8K - $76.8K
15% of jobs
$76.8K - $86.7K
14% of jobs
$91.3K is the 75th percentile. Wages above this are outliers.
$86.7K - $96.7K
11% of jobs
$96.7K - $106.6K
6% of jobs
$106.6K - $116.6K
6% of jobs
$116.6K - $126.5K
4% of jobs
$126.5K - $136.5K
2% of jobs
$27K
$77.8K
$136.5K
| Aspect | Manager Provider Engagement | Provider Relations Manager |
|---|---|---|
| Primary Focus | Engaging healthcare providers, building partnerships, and increasing provider participation | Managing provider relationships, resolving issues, and ensuring provider satisfaction |
| Responsibilities | Outreach, onboarding, and strategic engagement of providers | Addressing provider concerns, contract negotiations, and maintaining ongoing relations |
| Work Environment | Healthcare organizations, insurance companies, or managed care settings | Healthcare networks, insurance firms, or provider organizations |
While both roles involve working with healthcare providers, the Manager Provider Engagement primarily focuses on proactive outreach and partnership development, whereas the Provider Relations Manager concentrates on maintaining and resolving ongoing provider issues. Both roles are essential for fostering strong provider networks but differ in their core functions and daily activities.

Full-time
Re-posted 15 days ago
PROLIM (www.prolim.com) is currently seeking Provider Engagement Account Manager for one of our top Client for Location - Remote - Territory is Bartow County, GA but candidate can live in Cherokee, Pickens, Floyd or Bartow due to field travel required 4 days a week
Qualified candidates can directly send your updated resume and contact info via email: jayaprakash.hiremath@prolim.com
Job description:
***NOTE: For this role, due to travel requirements, we are seeking candidates who live in Georgia, specifically, Bartow, Cherokee, Floyd or Pickens counties***
Position Purpose:
Maintain partnerships between the health plan and the contracted provider networks serving our communities.
Build client relations to ensure delivery of the highest level of care to our members.
Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution.
Drive optimal performance in contract incentive performance, quality, and cost utilization.
Serve as primary contact for providers and act as a liaison between the providers and the health plan
Triages provider issues as needed for resolution to internal partners
Receive and effectively respond to external provider related issues
Investigate, resolve and communicate provider claim issues and changes
Initiate data entry of provider-related demographic information changes
Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics
Perform provider orientations and ongoing provider education, including writing and updating orientation materials
Manages Network performance for assigned territory through a consultative/account management approach
Evaluates provider performance and develops strategic plan to improve performance
Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.
Completes special projects as assigned
Ability to travel locally 4 days a week
Performs other duties as assigned
Complies with all policies and standards
Direct Provider Engagement: Conducts regular in-person visits with physicians to provide real-time support, discuss performance metrics, and identify opportunities for improvement in patient care and clinical practices.
Value-Based Care Model: Focuses on value-based care model initiatives, collaborating with physicians to identify and align to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care.
Performance Management: Uses data analytics to track and monitor provider performance, offering actionable feedback to help physicians optimize care delivery and meet key performance targets.
Education/Experience:
Bachelor’s degree in related field or equivalent experience
Two years of provider engagement account management experience
Project management experience at a medical group, IPA, or health plan setting
Proficient in HEDIS/Quality measures, cost (MLR) and utilization
Required Skills
* In person provider engagement experience.
* Risk experience (Health Benefit Ratio, emergency room utilization, cost utilization-reducing high-cost drivers)
Preferred or Nice-to-have Skills
* HEDIS/Quality Improvement
* Value-based care
* Claims processing knowledge
Years of Experience: * Bachelor’s degree in related field or equivalent experience and 2 years in person provider engagement experience
Industry Experience: * Managed care * Accountable Care Organization (ACO) or Independent Practice Association (IPA) experience
Education Requirements: * Bachelor’s degree in related field or equivalent experience
About PROLIM
PROLIM is a leading provider of PLM, IoT and Digital transformation solutions to Global Fortune 1000 companies. With 9 global offices in US, India, and Australia, PROLIM has won 30+ awards and proudly serving over 1200+ customers to innovate and improve their profitability and efficiency. PROLIM was founded in 2005 and is headquartered in Farmington Hills, USA. With the global footprint and expertise in latest technologies, PROLIM can partner with you to speed up your Digital Transformation journey.