Remote Otter LogoRemoteOtter

Provider Account Manager - Remote

Posted 2 days ago
Sales / Business
Full Time
USA
$57,700 - $107,800/year

Overview

The Provider Account Manager serves as the primary liaison to support identified providers in the market, focusing on training, monitoring, and enhancing provider performance while ensuring adherence to company policies.

In Short

  • Primary liaison for provider support and training.
  • Responsible for enforcing company policies and improving provider efficiencies.
  • Manage relationships with select providers for value-based reimbursement (VBR) programs.
  • Educate providers on VBR program changes and performance requirements.
  • Coordinate with internal teams for effective communication and issue resolution.
  • Analyze provider performance metrics to drive improvements.
  • Engage with various departments to support healthcare delivery.
  • Maintain knowledge of industry trends and compliance regulations.
  • Occasional travel to provider locations.
  • Position may be remote depending on the location.

Requirements

  • 5 years of experience in healthcare or insurance industry.
  • 3 years of experience in project management.
  • Strong communication and critical thinking skills.
  • Knowledge of VBR programs and reimbursement methodologies.
  • Proficient in Microsoft Office Suite.
  • Bachelor’s degree in Business or Healthcare-related field.
  • Ability to articulate complex concepts to various audiences.
  • Experience in managing multiple tasks with defined deadlines.
  • Understanding of compliance with CMS regulations.
  • Strong organizational skills.

Benefits

  • Competitive salary range.
  • Opportunity for hybrid or remote work.
  • Comprehensive health benefits.
  • Supportive work environment focused on professional growth.
  • Access to training and development resources.
  • Less than 25% travel requirement.
  • Engagement in innovative healthcare solutions.
  • Participation in value-based healthcare initiatives.
  • Collaborative culture with various internal teams.
  • Commitment to ethical and legal standards in healthcare.

Highmark

Highmark

West Penn Allegheny Health System, part of Highmark Health, is a comprehensive health organization based in Pittsburgh, Pennsylvania. It encompasses a large network of healthcare services, including one of the largest Blue Cross Blue Shield insurers in the United States and a growing regional hospital and physician network. With a workforce of 35,000 employees, the organization is dedicated to serving millions of customers nationwide through its various affiliated businesses, which provide a wide range of health-related services such as health insurance, healthcare delivery, population health management, dental solutions, and innovative technology solutions. The system is committed to quality care, ethical standards, and diversity in the workplace.

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