Senior LTSS Provider Relations Manager

CareSource; Kentucky; On-site; USD 83,000 - 133,000; Full time

Job summary

CareSource seeks an LTSS Provider Relations Account Manager to influence internal stakeholders and strengthen provider relationships. You will engage with LTSS and HCBS providers to improve operations, reduce burden, and enhance member access to care.

You will own provider satisfaction, collaborate with leadership, and educate partners on billing, regulation changes, and portal support, while traveling as needed in a mobile role.

Qualifications

• Bachelor’s degree or equivalent years of relevant work experience required.
• Minimum 3 years in account management, claims, operations or business work.
• Minimum 2 years Provider Relations experience for LTSS/HCBS required.
• Knowledge of Medicaid, Medicare, LTSS and HCBS required.
• Experience translating business and contractual requirements.

Responsibilities

• Own the relationship with LTSS/HCBS providers to drive satisfaction and retention.
• Develop and maintain relationships with provider associations and stakeholders.
• Serve as liaison/ SME to providers and operations for the LTSS/HCBS network.
• Collaborate with Operations and other teams on provider issues and responses.
• Lead onboarding and ongoing education for the provider network.
• Improve E Visit Verification compliance rates across the network.
• Prepare and lead internal/external meetings with stakeholders.
• Educate internal/external partners on LTSS/HCBS services, billing, and portal support.
• Understand and communicate regulatory changes to providers.

Skills

Communication skills

Time management

Customer service oriented

Problem solving

Analytical thinking

Relationship building

Team collaboration

Adaptability

Education

Bachelor's degree in project management or related field

3+ years account management/operations experience

2+ years Provider Relations LTSS/HCBS experience

Tools

Facets

Other operational systems

MS Office (Excel, Word, Project)

Job description

CareSource seeks an LTSS Provider Relations Account Manager to influence internal stakeholders and strengthen provider relationships. You will engage with LTSS and HCBS providers to improve operations, reduce burden, and enhance member access to care.

You will own provider satisfaction, collaborate with leadership, and educate partners on billing, regulation changes, and portal support, while traveling as needed in a mobile role.