Provider Relations & Operations Manager

CareSource; Mobile (AL); On-site; USD 72,000 - 116,000; Full time

Job summary

CareSource/Commonwealth Care Alliance in Mobile, AL is seeking a Provider Relations Account Manager to influence stakeholder relationships in a highly matrixed organization. You will own provider partnerships, focus on satisfaction and retention, and drive operational efficiencies through proactive engagement and escalation management.

You will lead meetings with providers and internal teams, analyze processes, ensure contract compliance, and leverage dashboards to monitor performance.

Qualifications

• Bachelor's degree in Business Administration or related field preferred.
• Three (3) years of experience in the health plan/managed care industry required.
• Experience in a managed care organization preferred.

Responsibilities

• Own the relationship with Health Partner/Provider with a proactive focus on overall provider satisfaction and retention.
• Identify, solution, and execute on escalations and systemic opportunities for continuous operational improvement.
• Prepare and lead internal and external meetings with key stakeholders.
• Assure department deliverables are met with timely follow up.
• Educate health partners/providers on all operational updates.
• Analyze current work processes, identify gaps and implement corrections.
• Maintain strong internal relationships with key business partners.
• Perform provider outreach, field visits and site evaluations for contract/state/federal compliance.
• Utilize dashboards with providers and manage multiple projects.

Skills

Provider relations

Stakeholder management

Communication

Project management

Analytical skills

Microsoft Office (Word, Excel, PowerP)

Negotiation

Leadership

Emotional intelligence

Education coordination

Education

Bachelor's degree in Business Administration

Job description

CareSource/Commonwealth Care Alliance in Mobile, AL is seeking a Provider Relations Account Manager to influence stakeholder relationships in a highly matrixed organization. You will own provider partnerships, focus on satisfaction and retention, and drive operational efficiencies through proactive engagement and escalation management.

You will lead meetings with providers and internal teams, analyze processes, ensure contract compliance, and leverage dashboards to monitor performance.