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Provider Relationship Manager Jobs in Indiana (NOW HIRING)

FIRST MERCHANTS

Relationship Manager IV

South Bend, IN · On-site

First Merchants Bank is seeking a Relationship Manager IV. This position will effectively carry out ... Provide exceptional customer service; be responsive, knowledgeable and exceed customer expectations.

Sallie_mae

Client Relationship Manager

Indianapolis, IN · Hybrid

Develop and maintain clear lines of communication with clients, providing regular updates, progress ... Proficiency in using CRM software and other relevant tools for relationship management. * Strong ...

Keystone

Account Relationship Manager

Wingate, IN

Provide customer service and act as one of the primary points of contact for customers, including ... business relationships * Excellent organizational skills and ability to work well within strict ...

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Provider Relationship Manager information

What are the key skills and qualifications needed to thrive as a Provider Relationship Manager, and why are they important?

To thrive as a Provider Relationship Manager, you need a strong understanding of healthcare networks, contract negotiation, and provider relations, often supported by a degree in healthcare administration or business. Familiarity with healthcare management systems, CRM tools, and data analysis platforms is typically required. Exceptional interpersonal skills, problem-solving ability, and effective communication help build trust and resolve issues with providers. These competencies are crucial for maintaining productive partnerships, ensuring service quality, and supporting organizational objectives in a competitive healthcare environment.

What are some common challenges a Provider Relationship Manager faces when working with healthcare providers, and how can they be addressed?

Provider Relationship Managers often encounter challenges such as aligning organizational goals with provider expectations, addressing concerns about reimbursement rates, and managing communication across multiple stakeholders. Building strong, trust-based relationships and maintaining clear, transparent communication are key strategies for overcoming these obstacles. Regularly scheduled meetings, active listening, and prompt follow-up on issues help foster collaboration and ensure providers feel supported, ultimately leading to more effective partnerships.

What is a Provider Relationship Manager?

A Provider Relationship Manager is a professional who acts as a liaison between healthcare providers, such as doctors or hospitals, and insurance companies or health organizations. Their main role is to build and maintain positive relationships with providers, ensuring effective communication and resolving any issues related to contracts, billing, or performance. They work to improve provider satisfaction, streamline processes, and support the organization's goals in delivering quality healthcare services.

What is the difference between Provider Relationship Manager vs Account Manager?

AspectProvider Relationship ManagerAccount Manager
CredentialsRelevant certifications (e.g., healthcare management, customer service)Sales or customer service certifications often preferred
Work EnvironmentHealthcare or insurance settings, provider networksVarious industries, client-focused environments
Employer & IndustryHealthcare providers, insurance companiesMultiple industries including tech, retail, finance
Search & Comparison IntentFocus on provider relations, healthcare partnershipsFocus on client accounts, sales, and retention

The Provider Relationship Manager primarily manages relationships with healthcare providers or insurance networks, focusing on partnerships and service quality. In contrast, an Account Manager typically handles client accounts across various industries, emphasizing sales and customer retention. While both roles involve relationship management, their industry focus and daily responsibilities differ significantly.

What are popular job titles related to Provider Relationship Manager jobs in Indiana? For Provider Relationship Manager jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Provider Relationship Manager jobs in Indiana look for? The top searched job categories for Provider Relationship Manager jobs in Indiana are:
Provider Relationship Manager jobs near you
Medicaid Provider Relationship Account Manager-Hybrid to Indianapolis

Medicaid Provider Relationship Account Manager-Hybrid to Indianapolis

Professional Management Enterprises

Indianapolis, IN • On-site

$40 - $46/hr

Full-time

Posted 6 days ago

Job description

Description:

BKG Enterprises is seeking a Medicaid Provider Relationship Account Manager responsible for providing quality, accessible, and comprehensive service to the company's provider community. The role involves developing and maintaining positive provider relationships through regular on-site and/or virtual visits, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues.


Work Location:

The Medicaid Provider Relationship Account Manager position may involve a mix of on-site and remote working environments based on the organization’s policies and the specific requirements of the job.


Salary: $40.00-$46.00/hr.


Responsibilities:

  • Develop and maintain positive relationships with the provider community by conducting regular on-site and/or virtual/digital visits.
  • Communicate administrative and programmatic changes to providers.
  • Facilitate education and resolve provider issues promptly.
  • Serve as a knowledge and resource expert regarding provider issues impacting provider satisfaction and network retention.
  • Research, analyze, and coordinate prompt resolutions to complex provider issues and appeals through direct contact with providers and internal matrixed partners.
  • Collaborate within a cohort of internal matrix partners to triage issues and submit work requests.
  • Manage a portfolio of providers within a defined cohort.
  • Coordinate Joint Operation Committees (JOC) with provider groups, driving meetings to discuss issues and changes.
  • Assist with Annual Provider Satisfaction Surveys, implement required corrective action plans, and monitor educational activities, contract questions, and non-routine claim issues.
  • Coordinate communications on administrative and medical policy, reimbursement, and provider utilization patterns.
  • Conduct proactive outreach to support the understanding of managed care policies and procedures, as well as various initiatives and programs.
  • Participate in external Provider Townhalls/Seminars and attend State Association conferences (e.g., MGMA, AFP, AAP, HFMA).
  • Identify and report on provider utilization patterns that impact the quality of service delivery.
  • Research issues that may impact future provider contract negotiations or jeopardize network retention.
Requirements:
  • Requires a Bachelor’s degree.
  • Minimum of 3 years of customer service experience, including 2 years in a healthcare or provider environment.
  • Or any combination of education and experience which provides an equivalent background.
  • Excellent oral, written, and interpersonal communication skills.
  • Strong problem-solving, facilitation, and analytical skills.
  • Ability to travel as required.
  • The Medicaid Provider Relationship Account Manager position may involve a mix of on-site and remote working environments based on the organization’s policies and the specific requirements of the job.