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Manager Provider Engagement Jobs in Georgia (NOW HIRING)

PruittHealth

Physician Practice Manager

Norcross, GA

Develop and execute provider engagement and retention initiatives. Productivity, Performance & KPI Management * Establish, monitor, and improve key performance indicators (KPIs) related to provider ...

PruittHealth

Physician Practice Manager

Norcross, GA

Develop and execute provider engagement and retention initiatives. Productivity, Performance & KPI Management * Establish, monitor, and improve key performance indicators (KPIs) related to provider ...

PruittHealth

Physician Practice Manager

Norcross, GA · On-site

Develop and execute provider engagement and retention initiatives. Productivity, Performance & KPI Management * Establish, monitor, and improve key performance indicators (KPIs) related to provider ...

PruittHealth

Physician Practice Manager

Norcross, GA · On-site

Develop and execute provider engagement and retention initiatives. Productivity, Performance & KPI Management * Establish, monitor, and improve key performance indicators (KPIs) related to provider ...

Sheltering Arms

Family Engagement Manager

Atlanta, GA · On-site

The Family Engagement Manager provides agency-wide leadership in family engagement, governance, parent leadership development, and implementation of the Head Start Parent, Family, and Community ...

Sheltering Arms

Family Engagement Manager

Atlanta, GA · On-site

The Family Engagement Manager provides agency-wide leadership in family engagement, governance, parent leadership development, and implementation of the Head Start Parent, Family, and Community ...

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Manager Provider Engagement information

What is a manager provider engagement?

A Manager Provider Engagement is a leadership role within healthcare organizations responsible for building and maintaining positive relationships with healthcare providers, such as doctors, clinics, and hospitals. They develop strategies to improve communication, collaboration, and satisfaction among providers, ensuring alignment with organizational goals. Their work often involves overseeing provider networks, addressing concerns, and implementing programs to enhance provider performance and engagement. This role is key in supporting quality patient care and efficient healthcare delivery.

How does a manager provider engagement typically collaborate with healthcare providers to drive quality improvement initiatives?

A Manager Provider Engagement works closely with healthcare providers to foster strong relationships and encourage participation in quality improvement programs. This often involves organizing regular meetings, providing feedback on performance metrics, and facilitating training or resources to support best practices. The role requires balancing the needs of the health plan with the interests of providers, addressing concerns, and collaboratively identifying opportunities for better patient outcomes. Successful collaboration hinges on clear communication, mutual respect, and a shared commitment to quality care.

What are the key skills and qualifications needed to thrive as a manager provider engagement, and why are they important?

To thrive as a Manager Provider Engagement, you need a strong background in healthcare management, provider relations, and project coordination, often supported by a bachelor's degree in healthcare administration or a related field. Familiarity with CRM systems, data analytics tools, and knowledge of healthcare regulations are typically required, and certifications like Certified Professional in Healthcare Quality (CPHQ) can be advantageous. Exceptional interpersonal, negotiation, and problem-solving skills help build positive relationships and foster collaboration with healthcare providers. These skills ensure efficient provider network management, improved service quality, and alignment with organizational goals.

What is the difference between Manager Provider Engagement vs Provider Relations Manager?

AspectManager Provider EngagementProvider Relations Manager
Primary FocusEngaging healthcare providers, building partnerships, and increasing provider participationManaging provider relationships, resolving issues, and ensuring provider satisfaction
ResponsibilitiesOutreach, onboarding, and strategic engagement of providersAddressing provider concerns, contract negotiations, and maintaining ongoing relations
Work EnvironmentHealthcare organizations, insurance companies, or managed care settingsHealthcare 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.

What are the most commonly searched types of Provider Engagement jobs in Georgia?

The most popular types of Provider Engagement jobs in Georgia are:

What are popular job titles related to Manager Provider Engagement jobs in Georgia?

For Manager Provider Engagement jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Manager Provider Engagement jobs in Georgia look for?

The top searched job categories for Manager Provider Engagement jobs in Georgia are:

Manager Provider Engagement jobs near you
Infographic showing various Manager Provider Engagement job openings in Georgia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 74% In-person, and 26% Hybrid job distribution.

Provider Engagement Account Manager

PROLIM Global Corporation

Bartow, GA • On-site

Full-time

Re-posted 14 days ago

Job description

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.

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