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Provider Relationship Manager Jobs in Wisconsin (NOW HIRING)

Sales Relationship Manager

Madison, WI · On-site

$64K - $110K/yr

We deliver personalized health care experiences and partner closely with providers to ensure ... The Commercial Sales Relationship Manager is responsible for driving new business sales and ...

We deliver personalized health care experiences and partner closely with providers to ensure ... The Commercial Sales Relationship Manager is responsible for driving new business sales and ...

Join our team as a Business Relationship Manager based out of our Oregon Office, where you will ... Some examples of reasonable accommodation include alternate methods to apply, providing documents ...

Deliver exceptional service - Foster a service culture by leveraging expertise in investment and wealth advisory services to provide best-in-class relationship management. * Engage in client events ...

Deliver exceptional service - Foster a service culture by leveraging expertise in investment and wealth advisory services to provide best-in-class relationship management. * Engage in client events ...

Deliver exceptional service - Foster a service culture by leveraging expertise in investment and wealth advisory services to provide best-in-class relationship management. * Engage in client events ...

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Provider Relationship Manager information

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 are the key skills and qualifications needed to thrive as a provider relationship manager?

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 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 Wisconsin?

For Provider Relationship Manager jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Provider Relationship Manager jobs in Wisconsin look for?

The top searched job categories for Provider Relationship Manager jobs in Wisconsin are:

What cities in Wisconsin are hiring for Provider Relationship Manager jobs?

Cities in Wisconsin with the most Provider Relationship Manager job openings:

$64K - $110K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago


Job description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.  

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. 

The Commercial Sales Relationship Manager is responsible for driving new business sales and managing strategic relationships. This individual will represent the health plan in cultivating strong broker/consultant partnerships, identifying business opportunities, and providing consultative solutions tailored to each client's healthcare and benefits needs. There will be strategic management of consultants and agency relationships to source new Commercial small group business; minimal post-sale service responsibilities; no renewal responsibilities. Performs other duties as assigned. 

Key Accountabilities

  • New Business Development
    • Develop and execute a strategic sales plan to achieve growth targets for commercial business
    • Identify and qualify new sales opportunities through brokers, consultants, and direct employer contacts
    • Lead RFP responses and finalist presentations with a high level of professionalism and knowledge
  • Relationship Management
    • Serve as the primary point of contact for brokers and consultants, building trust-based partnerships
    • Deliver proactive and ongoing communications to employer clients and distribution partners
    • Monitor satisfaction, performance guarantees, and service delivery for assigned accounts
  • Market and Product Expertise
    • Stay informed on regional and national healthcare trends, competitive landscape, and regulatory changes
    • Maintain deep knowledge of the health plan’s products, networks, and value propositions
    • Collaborate with internal departments (underwriting, operations, clinical, etc.) to ensure smooth implementation and service delivery
  • Sales Reporting and Forecasting
    • Track sales pipeline, report on progress against goals, and maintain CRM data integrity
    • Provide feedback to leadership on product gaps, market needs, and broker insights

Required Qualifications

  • Bachelor’s degree in Business, Marketing, Healthcare Administration or related field (or equivalent work experience)
  • 5+ years of experience in health insurance sales, account management, or broker relations, with a focus on group clients
  • Existing broker and consultant relationships in the Madison market strongly preferred
  • Active Wisconsin Life & Health insurance license or obtain within 90 days of hire
  • Strong presentation, negotiation, and relationship-building skills
  • Self-starter with excellent time management and organizational skills
  • Proficient in Microsoft Office Suite and CRM systems (e.g., Salesforce)

Skills and Abilities

  • Strategic thinker with a consultative approach to selling
  • Collaborative team player who thrives in a fast-paced, evolving environment
  • Passion for improving healthcare and providing value for our broker partners, employers and their employees

This position is an Office role, which requires an employee to work onsite at our Madison, WI office, on average, 3 days per week.  

The full salary grade for this position is $64,300 - $110,200. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $64,300 - $91,800. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data.  In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.  

The compensation and benefits information is provided as of the date of this posting. Medica’s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law. 

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. 

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.