Provider Relationship Account Manager

Elevance Health; Hanover (MD); Hybrid; USD 69,000 - 119,000; Full time

Job summary

A health services provider is seeking a Provider Relationship Account Manager for a hybrid role based in Maryland. This position involves developing provider relationships, resolving issues, and supporting provider satisfaction initiatives. The ideal candidate should have a Bachelor's degree and at least three years of customer service experience in a healthcare environment. The salary ranges from $69,048 to $118,368, reflecting experience and qualifications. Travel may be required.

Qualifications

• Minimum of 3 years of customer service experience, including 2 years in a healthcare or provider environment.
• Travel to worksite and other locations as necessary.

Responsibilities

• Develop and maintain positive provider relationships.
• Serve as a knowledge and resource expert regarding provider issues.
• Collaborate with internal matrix partners to triage issues.
• Maintain a defined portfolio of providers.
• Assist in Annual Provider Satisfaction Surveys.

Skills

Provider interface experience

National account knowledge

Education

Bachelor’s degree

Job description

Provider Relationship Account Manager

Hybrid role: 1‑2 days per week in office; remote otherwise.

Location

Maryland, New York

Responsibilities

• Develop and maintain positive provider relationships with regular on‑site and virtual visits, communicating administrative and programmatic changes and facilitating education and resolution of provider issues.
• Serve as a knowledge and resource expert regarding provider issues impacting provider satisfaction and network retention; research, analyze, and coordinate prompt resolution to complex provider issues and appeals through direct contact with providers and internal partners.
• Collaborate within internal matrix partners to triage issues and submit work requests.
• Maintain a defined portfolio of providers within a cohort.
• Coordinate Joint Operation Committees (JOC) of provider groups, driving meetings to discuss issues and changes.
• Assist Annual Provider Satisfaction Surveys, corrective action plan implementation, monitoring education, contract questions, and non‑routine claim issues.
• Coordinate communications process on administrative and medical policy, reimbursement, and provider utilization patterns.
• Conduct proactive outreach to support understanding of managed care policies and procedures and 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 quality‑of‑service delivery.
• Research issues that may impact future provider contract negotiations or jeopardize network retention.

Minimum Requirements

• Bachelor’s degree; minimum of 3 years of customer service experience, including 2 years in a healthcare or provider environment; or equivalent combination of education and experience.
• Travel to worksite and other locations as necessary.

Preferred Skills, Capabilities, and Experiences

• Provider interface experience strongly preferred.
• National account knowledge strongly preferred.

Salary

$69,048 – $118,368

Equal Employment Opportunity

Elevance Health is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status or condition protected by applicable federal, state, or local laws. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, or local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Applicants who require accommodation to participate in the job application process may contact [e-mail] for assistance.