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Manager Provider Engagement Jobs in Tennessee (NOW HIRING)

Abilis Health Plan

Provider Network Manager

Nashville, TN · On-site +1

$70K - $80K/yr

The Provider Network Manager serves as a primary contact for contracted providers, conducts ... Conduct provider education and outreach activities to promote provider engagement, communication ...

Abilis Health Plan

Provider Network Manager

Memphis, TN · On-site +1

$70K - $80K/yr

The Provider Network Manager serves as a primary contact for contracted providers, conducts ... Conduct provider education and outreach activities to promote provider engagement, communication ...

IVX Health

Manager, Sales Operations

Brentwood, TN · On-site

Build frameworks to track provider engagement, ranking, and retention. Systems, Processes, and ... Manage, lead, and develop the Sales Operations and Support team, fostering a culture of ...

IVX Health

Manager, Sales Operations

Brentwood, TN · On-site

Build frameworks to track provider engagement, ranking, and retention. Systems, Processes, and ... Manage, lead, and develop the Sales Operations and Support team, fostering a culture of ...

Blossom ABA Therapy

Community Liaison

Nashville, TN · On-site

$55K - $70K/yr

... M platform. * Track referral activity, outreach efforts, and business development KPIs. * Prepare weekly and monthly reports detailing outreach activity, referral growth, provider engagement ...

CGI Inc.

Client Engagement Manager

Nashville, TN · On-site

Client Engagement Manager Category: Business Consulting, Strategy and Digital Transformation Main ... CGI provides reasonable accommodations to qualified individuals with disabilities. If you need an ...

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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 popular job titles related to Manager Provider Engagement jobs in Tennessee?

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

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

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

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

Provider Network Manager

Abilis Health Plan

Nashville, TN • On-site, Remote

$70K - $80K/yr

Full-time

Medical

Posted 6 days ago

Job description

Our Company

Abilis Health Plan

Overview

The Provider Network Manager is responsible for maintaining and enhancing provider networks within an assigned territory through provider relations, network development, and routine contracting activities. The Provider Network Manager serves as a primary contact for contracted providers, conducts provider education and outreach, identifies and addresses network opportunities, and supports provider recruitment efforts. The position also monitors market changes and network performance to ensure adequate provider coverage and compliance with CMS network adequacy standards and all applicable regulatory requirements.

Responsibilities
  • Manage provider relationships within assigned markets, serving as a primary point of contact for contracted providers and addressing network-related issues and inquiries.
  • Perform routine provider contracting and recruitment activities to support network growth, address coverage gaps, and maintain adequate provider access.
  • Conduct provider education and outreach activities to promote provider engagement, communication, and understanding of health plan requirements and initiatives.
  • Monitor and report market and provider changes that may impact network performance, access, or compliance within assigned territories.
  • Collaborate with internal departments to resolve provider issues, support operational initiatives, and improve network effectiveness.
  • Promote a positive and collaborative work environment that supports continuous improvement and organizational success.
  • Complete all assigned corporate responsibilities, including compliance training and other organizational requirements.
Qualifications
  • Associate's Degree or equivalent work experience.
  • Five (5)+ years of experience in managed care, provider network development, provider relations, contracting, or a related healthcare field.
  • Prior experience with Medicare Advantage plans required; Institutional Special Needs Plan (I-SNP) experience preferred.
  • Experience building and maintaining provider relationships, conducting provider education, and supporting provider engagement initiatives.
  • Reliable transportation.
  • Current automobile insurance which meets company policy requirements.
  • Familiarity with health plan operations, including benefits, claims review and resolution, eligibility, provider data management, and network operations.
  • Knowledge of CMS network adequacy standards, provider recruitment, and regulatory compliance requirements preferred.
  • Strong organizational, presentation, and time management abilities.
  • Effective communication skills.
  • Working knowledge of Medicare payment methodologies.
  • Ability to follow instructions and work independently to achieve goals and complete assignments.
  • Proven success working collaboratively in a team environment.
  • Proficient in Microsoft Office Suite and other relevant computer applications.
  • Self-motivated, dependable, team-oriented, and goal-oriented.
  • Skilled at managing multiple priorities effectively.
  • Travel up to 25%
About our Line of BusinessAbilis Health Plan, an affiliate of BrightSpring Health Services, is a Medicare Advantage Plan covering all the benefits of Original Medicare (Parts A and B) with prescription drug coverage (Part D). The Abilis Health Plan is a unique plan allowing members to enroll year-round. The plan focuses on members who meet residential requirements in participating nursing facilities. An interdisciplinary team of clinicians and innovative services allow us to meet each member's clinical needs and provide preventive, coordinated, and quality healthcare. With a dedicated nurse practitioner leading a personalized care plan, we strive to improve the health of the communities in which we serve. For more information, please visit www.abilishealth.com. Follow us on LinkedIn.Salary RangeUSD $70,000.00 - $80,000.00 / YearEmployment Type: FULL_TIME

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