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Provider Engagement Account Manager Jobs (NOW HIRING)

Humana

Provider Engagement Executive

Indianapolis, IN · 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 ...

Humana

Provider Engagement Executive

Indianapolis, IN · 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 ...

Presidio

Account Manager

Woburn, MA · On-site

Responsibilities Include: * Customer Engagement & Account Growth: Develop and strengthen ... Provide in-depth customer technology roadmap and collaboratively work with inside Account Manager ...

Presidio

Senior Account Manager

Morristown, NJ

Responsibilities Include: * Customer Engagement & Account Growth: Develop and strengthen ... Provide in-depth customer technology roadmap and collaboratively work with inside Account Manager ...

Presidio

Account Manager -Columbus, OH

Columbus, OH · On-site

Customer Engagement & Account Growth: Develop and strengthen relationships with existing customers ... Provide regular updates and strategic insights to senior management * Achieve & Exceed Quotas: Meet ...

Presidio

Senior Account Manager

Bloomington, MN · On-site

Responsibilities Include: * Customer Engagement & Account Growth: Develop and strengthen ... Provide in-depth customer technology roadmap and collaboratively work with inside Account Manager ...

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Provider Engagement Account Manager information

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$29.5K

$65.8K

$106K

How much do provider engagement account manager jobs pay per year?

As of Aug 5, 2026, the average yearly pay for provider engagement 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 is the difference between Provider Engagement Account Manager vs Provider Relations Specialist?

AspectProvider Engagement Account ManagerProvider Relations Specialist
CredentialsRelevant certifications (e.g., CPC, CPCO), experience in healthcare or insuranceSimilar certifications, often with healthcare or insurance background
Work EnvironmentCorporate healthcare or insurance companies, provider networksHealthcare organizations, insurance companies, provider offices
Employer & Industry UsageUsed in healthcare management, insurance, and provider networksCommon in healthcare administration, provider relations teams
Search & Comparison IntentUnderstanding roles in provider engagement, account managementLearning about provider communication and relationship roles

The Provider Engagement Account Manager focuses on managing provider relationships, ensuring engagement, and maintaining account performance. The Provider Relations Specialist typically handles provider communication, issue resolution, and relationship building. While both roles involve working with providers, the Account Manager has a broader scope in account oversight and strategic engagement, whereas the Specialist emphasizes day-to-day communication and support.

More about Provider Engagement Account Manager jobs
What cities are hiring for Provider Engagement Account Manager jobs? Cities with the most Provider Engagement Account Manager job openings:
What states have the most Provider Engagement Account Manager jobs? States with the most job openings for Provider Engagement Account Manager jobs include:
What job categories do people searching Provider Engagement Account Manager jobs look for? The top searched job categories for Provider Engagement Account Manager jobs are:
Provider Engagement Account Manager jobs near you
Infographic showing various Provider Engagement Account Manager job openings in the United States as of July 2026, with employment types broken down into 87% Full Time, 9% Part Time, and 4% 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

PROLIM Global Corporation

Bartow, GA • On-site

Full-time

Posted 24 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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