Provider Relations & Field Operations Manager

CareSource; United States; Remote; USD 72,000 - 116,000; Full time

Job summary

CareSource/Commonwealth Care Alliance is seeking a Providers Relations Account Manager to operate in a highly matrixed organization, guiding internal stakeholders and engaging with health partners to build, manage and maintain productive relationships.

The role focuses on improving operational efficiencies, proactive engagement, and reduced burden to retain provider relationships, with travel in territory and strong emphasis on communication, leadership and problem solving.

Qualifications

• Bachelor's degree in Business Administration or related field preferred.
• Equivalent years of relevant work experience may be accepted in lieu of required education.
• Three (3) years of experience in the health plan/managed care industry required.
• Experience in a managed care organization preferred.
• Proficient with Microsoft Office to include Word, Excel and PowerPoint.
• Excellent written and verbal communications skills.

Responsibilities

• Own the relationship with Health Partner/Provider with a proactive focus on overall provider satisfaction and retention.
• Identify, solve, and execute on escalations and opportunities for continuous operational improvement.
• Prepare and lead internal and external meetings with key stakeholders.
• Educate health partners/providers on operational updates and processes.
• Analyze current work processes, identify gaps and implement corrective actions.
• Perform provider outreach, field visits and site evaluations to ensure contract compliance and regulations.

Skills

MS Office

Written & verbal communication

Goal setting

Detail orientation

Interpersonal skills

Active listening

Problem solving

Independent & team work

Negotiation skills

Leadership

Emotional intelligence

Relationship building

Project management

Conflict resolution

Facilitation

Analytical skills

Education

Bachelor's degree in Business Administration or related field

Equivalent years of relevant work experience

3 years of experience in health plan/managed care

Experience in a managed care organization

Tools

Microsoft Office Suite

Job description

CareSource/Commonwealth Care Alliance is seeking a Providers Relations Account Manager to operate in a highly matrixed organization, guiding internal stakeholders and engaging with health partners to build, manage and maintain productive relationships.

The role focuses on improving operational efficiencies, proactive engagement, and reduced burden to retain provider relationships, with travel in territory and strong emphasis on communication, leadership and problem solving.