Provider Engagement Account Manager
$55.1k/y-$99k/y
Peach State Health Plana day ago
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OnsiteFull-time2 yearsMid
Summary
Peach State Health Plan is seeking a Provider Engagement Account Manager to join their team in Atlanta, GA. The role involves maintaining partnerships between the health plan and contracted provider networks to ensure high-quality care for members.
About the Role
As a Provider Engagement Account Manager, you will serve as the primary contact for providers, triaging issues, educating them on policies, and managing network performance. You will conduct in-person visits with physicians, focus on value-based care initiatives, and use data analytics to track provider performance. The role requires local travel four days a week and involves completing special projects as assigned.
About You
Required:
- Bachelor's degree in a related field or equivalent experience.
- Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.
Preferred:
- Project management experience at a medical group, IPA, or health plan setting.
- Proficient in HEDIS/Quality measures, cost and utilization.
Benefits
- Competitive pay range of $55k–$99k per year.
- Comprehensive benefits package including health insurance, 401K, stock purchase plans, tuition reimbursement, and paid time off.
Peach State Health Plan
Peach State Health Plan is a Care Management Organization that serves the needs of Georgians through a range of health insurance solutions. Peach State Health Plan serves the Medicaid and PeachCare for Kids® population in partnership with Georgia Families. The organization also focuses on under-insured and uninsured individuals through its federal insurance marketplace plan, Ambetter, and its Medicare Advantage Special Needs Plan. Peach State Health Plan is a wholly owned subsidiary of Centene Corporation.
Atlanta, GA