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Provider Account Manager Jobs (NOW HIRING)

IME RESOURCES LLC

Account Manager (32081)

Dallas, TX · Remote

$85K - $90K/yr

The Account Manager is responsible for the implementation and roll out of all national sales programs as well as providing account management support for strategic clients. This position is well ...

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$29.5K

$65.8K

$106K

How much do provider account manager jobs pay per year?

As of Jun 4, 2026, the average yearly pay for provider account manager in the United States is $65,816.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,000.00 and $78,500.00 per year, depending on experience, location, and employer.

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.

How does a Provider Account Manager typically 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 is a Provider Account Manager?

A Provider Account Manager is a professional who serves as the main liaison between a healthcare organization or insurance company and its network of healthcare providers. Their primary responsibilities include managing relationships with providers, addressing their concerns, ensuring contract compliance, and supporting the efficient delivery of healthcare services. They work to optimize provider satisfaction, resolve operational issues, and help streamline processes to benefit both the providers and the organization. This role often requires strong communication, problem-solving, and organizational skills.

What is the difference between Provider Account Manager vs Customer Success Manager?

AspectProvider Account ManagerCustomer Success Manager
Primary FocusManaging provider relationships, ensuring service delivery, and account growthEnsuring customer satisfaction, onboarding, and retention
Work EnvironmentHealthcare, insurance, or service provider industriesTech, SaaS, or service industries
CredentialsRelevant industry certifications, experience in provider relationsCustomer 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.

More about Provider Account Manager jobs
What cities are hiring for Provider Account Manager jobs? Cities with the most Provider Account Manager job openings:
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Provider Account Manager jobs near you
Infographic showing various Provider Account Manager job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 93% Full Time, 4% Part Time, and 2% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $65,816 per year, or $31.6 per hour.
Provider Engagement Account Manager

Provider Engagement Account Manager

Prolim Global

Bartow, GA • On-site

Full-time

Posted 13 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.