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CareSource · 8 hours ago

Provider Relations Account Manager - R11180

Ohio, United States

Full-time

Onsite

Mid Level

$63K/yr - $100K/yr

3+ years exp

CareSource is a healthcare organization looking for a Provider Relations Account Manager. This role is responsible for building and maintaining relationships with healthcare providers, focusing on operational efficiencies and provider satisfaction to ensure retention. The position involves engaging with stakeholders, analyzing processes, and managing various projects to support the organization's goals.

Health CareMedicalNon Profit

Comp. & Benefits

H1B Sponsor Likely

Responsibilities

Own the relationship with the Health Partner/Provider with a proactive focus on overall provider satisfaction and retention

Identify, solution, and execute on Health Partner/Provider escalations and systemic opportunities (including complex and/or non routine) 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 appropriate correction

Responsible for maintaining strong internal relationships with key business partners

Perform quality assurance reviews to ensure that provider information is loaded correctly and contracting terms are accurately operationalized

Perform provider outreach, field visits and site evaluations to ensure compliance with the provider contract, and state and federal requirements

Develop and utilize key operational dashboards with providers

Manage multiple projects, collect and analyze data and disseminate to appropriate departments as necessary

Ensure appropriate documentation of interactions and projects

Support Leadership in meeting annual goals

Perform any other job duties as requested

Qualification

Health plan experienceAnalytical skillsProject managementMicrosoft OfficeCommunicationInterpersonal skillsProblem-solvingNegotiation skillsLeadership skillsEmotional intelligenceConflict resolutionFacilitation management

Required

A minimum of three (3) years of experience in the health plan/managed care industry

Proficient with Microsoft Office to include Word, Excel and PowerPoint

Excellent written and verbal communications skills

Ability to develop, prioritize and accomplish goals

Detail oriented

Strong interpersonal skills and high level of professionalism

Effective listening and critical thinking skills

Effective problem-solving skills with attention to detail

Ability to work independently and within a team

Strong negotiation skills

Excellent leadership skills

Exceptional emotional intelligence

Ability to create and maintain excellent working relationships

Project management

Conflict resolution

Facilitation management

Analytical skills

Employment in this position is conditional pending successful clearance of a driver's license record check

Influenza vaccination is a requirement of this position

Mobile Worker: This is a mobile position, meaning that regular travel to different work locations is essential

Reside in the same territory they are assigned to work in; exceptions may be considered, due to business need

May be required to travel greater than 50% of time to perform work duties

A valid driver's license, car, and insurance are necessary for work related travel

Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer

Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our member and may refer members to other CareSource resources

Preferred

Bachelor's Degree in Business Administration, or related field or equivalent years of relevant work experience

Experience in a managed care organization

Benefits

You may qualify for a bonus tied to company and individual performance.

We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Company

CareSource

Glassdoor3.8

CareSource provides managed care services to Medicaid beneficiaries.

Founded in 1989

Dayton, Ohio, USA

1001-5000 employees

https://www.caresource.com/

H1B Sponsorship

CareSource has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (30)

2024 (39)

2023 (35)

2022 (21)

2021 (37)

2020 (28)