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 ...
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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 ...
Hospital Senior Account Manager The Hospital Senior Account Manager supports and advances formulary ... Providing scientific and clinical information within the disease state area and approved product.
Hospital Senior Account Manager The Hospital Senior Account Manager supports and advances formulary ... Providing scientific and clinical information within the disease state area and approved product.
Account Manager
Tucker, GA · On-site
Account Manager will provide leadership and direction to Account Manager Associate to ensure the best service to our customers. RESPONSIBILITIES: 1. Record details and direction on all loads booked ...
Account Manager
Tucker, GA · On-site
Account Manager will provide leadership and direction to Account Manager Associate to ensure the best service to our customers. RESPONSIBILITIES: 1. Record details and direction on all loads booked ...
Account Manager
Atlanta, GA · On-site +1
Account Manager Location: Irving, TX / Remote Employment Type: Full-time Benefits: Benefits include ... Giltner Logistics is an asset-backed third-party logistics provider that offers a unique solution ...
Account Manager
Atlanta, GA · On-site +1
Account Manager Location: Irving, TX / Remote Employment Type: Full-time Benefits: Benefits include ... Giltner Logistics is an asset-backed third-party logistics provider that offers a unique solution ...
Account Manager
Tucker, GA · On-site
Account Manager will provide leadership and direction to Account Manager Associate to ensure the best service to our customers. RESPONSIBILITIES: 1. Record details and direction on all loads booked ...
Account Manager
Tucker, GA · On-site
Account Manager will provide leadership and direction to Account Manager Associate to ensure the best service to our customers. RESPONSIBILITIES: 1. Record details and direction on all loads booked ...
Account Manager
Atlanta, GA · On-site +1
Account Manager Location: Irving, TX / Remote Employment Type: Full-time Benefits: Benefits include ... Giltner Logistics is an asset-backed third-party logistics provider that offers a unique solution ...
Account Manager
Atlanta, GA · On-site +1
Account Manager Location: Irving, TX / Remote Employment Type: Full-time Benefits: Benefits include ... Giltner Logistics is an asset-backed third-party logistics provider that offers a unique solution ...
Account Manager
Albany, GA · Remote
The Account Manager, National Accounts reports to the Divisional Director, Account Executives. VP & ... Prepare regular sales reports and updates for management, providing insights and recommendations ...
Account Manager
Albany, GA · Remote
The Account Manager, National Accounts reports to the Divisional Director, Account Executives. VP & ... Prepare regular sales reports and updates for management, providing insights and recommendations ...
Account Manager
Albany, GA · Remote
The Account Manager, National Accounts reports to the Divisional Director, Account Executives. VP & ... Prepare regular sales reports and updates for management, providing insights and recommendations ...
Account Manager
Albany, GA · Remote
The Account Manager, National Accounts reports to the Divisional Director, Account Executives. VP & ... Prepare regular sales reports and updates for management, providing insights and recommendations ...
Account Manager
Albany, GA · Remote
The Account Manager, National Accounts reports to the Divisional Director, Account Executives. VP & ... Prepare regular sales reports and updates for management, providing insights and recommendations ...
Account Manager
Albany, GA · Remote
The Account Manager, National Accounts reports to the Divisional Director, Account Executives. VP & ... Prepare regular sales reports and updates for management, providing insights and recommendations ...
Providing scientific and clinical information within the disease state area and approved product ... Expertise in account selling and managing complex sales processes. * Deep knowledge of the Health ...
Providing scientific and clinical information within the disease state area and approved product ... Expertise in account selling and managing complex sales processes. * Deep knowledge of the Health ...
Account Manager
Atlanta, GA · On-site
$70K - $80K/yr
The Account Manager position helps maintain a safe and secure environment for our clients by managing the security services and related operations provided to an assigned group of smaller accounts ...
Account Manager
Atlanta, GA · On-site
$70K - $80K/yr
The Account Manager position helps maintain a safe and secure environment for our clients by managing the security services and related operations provided to an assigned group of smaller accounts ...
Providing scientific and clinical information within the disease state area and approved product ... Expertise in account selling and managing complex sales processes. * Deep knowledge of the Health ...
Providing scientific and clinical information within the disease state area and approved product ... Expertise in account selling and managing complex sales processes. * Deep knowledge of the Health ...
Providing scientific and clinical information within the disease state area and approved product ... Expertise in account selling and managing complex sales processes. * Deep knowledge of the Health ...
Providing scientific and clinical information within the disease state area and approved product ... Expertise in account selling and managing complex sales processes. * Deep knowledge of the Health ...
Account Manager
Griffin, GA · On-site
$50K - $60K/yr
The Account Manager position helps maintain a safe and secure environment for our clients by managing the security services and related operations provided to an assigned group of smaller accounts ...
Account Manager
Griffin, GA · On-site
$50K - $60K/yr
The Account Manager position helps maintain a safe and secure environment for our clients by managing the security services and related operations provided to an assigned group of smaller accounts ...
Account Manager
Marietta, GA · On-site
WHAT YOU'LL DO As an Account Manager, Satellite Services, you'll serve as the primary point of ... Engage with qualified opportunities provided by the Demand Generation team, conduct discovery ...
Account Manager
Marietta, GA · On-site
WHAT YOU'LL DO As an Account Manager, Satellite Services, you'll serve as the primary point of ... Engage with qualified opportunities provided by the Demand Generation team, conduct discovery ...
Account Manager
Atlanta, GA · On-site
$750/wk
At L R Countertops, we are dedicated to providing exceptional craftsmanship and top-quality stone ... We are looking for a highly driven Account Manager to join our team and build lasting relationships ...
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Account Manager
Atlanta, GA · On-site
$750/wk
At L R Countertops, we are dedicated to providing exceptional craftsmanship and top-quality stone ... We are looking for a highly driven Account Manager to join our team and build lasting relationships ...
WHAT YOU'LL DO As an Account Manager, Satellite Services, you'll serve as the primary point of ... Engage with qualified opportunities provided by the Demand Generation team, conduct discovery ...
Quick apply
WHAT YOU'LL DO As an Account Manager, Satellite Services, you'll serve as the primary point of ... Engage with qualified opportunities provided by the Demand Generation team, conduct discovery ...
Account Manager
Norcross, GA · On-site
The Account Manager provides comprehensive service to clients from the point of quote creation through invoicing. This position requires the ability to multi-task in a fast-paced work environment ...
Account Manager
Norcross, GA · On-site
The Account Manager provides comprehensive service to clients from the point of quote creation through invoicing. This position requires the ability to multi-task in a fast-paced work environment ...
Account Manager
Atlanta, GA · On-site
Company Description Preparis www.preparis.com provides businesses a new way to protect their people ... As an Account Manager, your role is to ensure your assigned accounts achieve the highest level of ...
Account Manager
Atlanta, GA · On-site
Company Description Preparis www.preparis.com provides businesses a new way to protect their people ... As an Account Manager, your role is to ensure your assigned accounts achieve the highest level of ...
Provider Account Manager information
How does a Provider Account Manager collaborate with healthcare providers to resolve issues and improve service delivery?
Provider Account Managers work closely with healthcare providers through regular meetings, performance reviews, and ongoing communication. They act as liaisons between the provider network and the organization, addressing operational concerns, claims issues, and contractual questions. By fostering strong relationships and providing timely support, they help providers navigate processes and implement improvements that enhance patient care and streamline administrative tasks. Effective collaboration often involves cross-functional teamwork with internal departments such as claims, credentialing, and customer service.
What are the key skills and qualifications needed to thrive as a Provider Account Manager, and why are they important?
To thrive as a Provider Account Manager, you need a deep understanding of healthcare operations, contract management, and provider relations, often supported by a degree in business, healthcare administration, or a related field. Familiarity with CRM software, claims processing systems, and data analysis tools is typically required. Excellent negotiation, relationship-building, and problem-solving skills help you stand out in this role. These abilities are crucial for maintaining strong provider partnerships, ensuring compliance, and driving organizational success in a competitive healthcare environment.
What is the difference between Provider Account Manager vs Customer Success Manager?
| Aspect | Provider Account Manager | Customer Success Manager |
|---|---|---|
| Primary Focus | Managing provider relationships, ensuring service delivery, and account growth | Ensuring customer satisfaction, onboarding, and retention |
| Work Environment | Healthcare, insurance, or service provider industries | Tech, SaaS, or service industries |
| Credentials | Relevant industry certifications, experience in provider relations | Customer service, communication skills, relevant certifications |
While both roles focus on maintaining strong relationships, the Provider Account Manager primarily manages provider relationships within healthcare or insurance sectors, focusing on service delivery and account growth. The Customer Success Manager concentrates on client satisfaction and retention, often in tech or SaaS industries. Understanding these differences helps in choosing the right career path or job focus.
How much does a provider account manager get paid?
The average salary for a provider account manager typically ranges from $60,000 to $90,000 per year, depending on experience, location, and the size of the organization. Some roles may include bonuses or commissions, especially in sales-focused environments, and require strong communication and healthcare industry knowledge.
What are popular job titles related to Provider Account Manager jobs in Georgia?
For Provider Account Manager jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Provider Account Manager jobs in Georgia look for?
The top searched job categories for Provider Account Manager jobs in Georgia are:
What cities in Georgia are hiring for Provider Account Manager jobs?
Cities in Georgia with the most Provider Account Manager job openings:
Full-time
Re-posted 21 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.
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.
About PROLIM
Sourced by ZipRecruiter
Industry
It services
Company size
201 - 500 Employees
Headquarters location
Farmington Hills, MI, US