Remote Provider Relations & Partnerships Manager

CareSource; Massachusetts; Hybrid; USD 72,000 - 116,000; Full time

Job summary

CareSource/Commonwealth Care Alliance in Massachusetts seeks a Provider Relations Account Manager to lead provider partnerships, boost operational efficiency and reduce burdens, driving higher retention and satisfaction.

The role requires a Bachelor’s in Business Administration or related field and at least 3 years in health plans/managed care, with strong MS Office, communication, negotiation, and project-management skills; willingness to travel across a managed care territory is required.

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 focusing on satisfaction and retention.
• Identify, solution, and execute on escalations and opportunities for operational improvement.
• Prepare and lead internal and external meetings with stakeholders.
• Educate partners on operational updates and ensure contract compliance.
• Perform provider outreach, field visits and site evaluations.
• Utilize dashboards to monitor performance and drive improvements.

Skills

Microsoft Excel

PowerPoint

CRM software

Written communication

Verbal communication

Negotiation

Project management

Relationship building

Leadership

Data analysis

Attention to detail

Education

Bachelor's degree in Business Administration

Tools

Microsoft Excel

PowerPoint

CRM software

Job description

CareSource/Commonwealth Care Alliance in Massachusetts seeks a Provider Relations Account Manager to lead provider partnerships, boost operational efficiency and reduce burdens, driving higher retention and satisfaction.

The role requires a Bachelor’s in Business Administration or related field and at least 3 years in health plans/managed care, with strong MS Office, communication, negotiation, and project-management skills; willingness to travel across a managed care territory is required.