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Progyny, Inc. · 3 weeks ago

Provider Account Manager, Fertility Network

United States

Full-time

Remote

Mid, Senior Level

$120K/yr - $135K/yr

4+ years exp

Progyny, Inc. is a global leader in women’s health and family building solutions, and they are seeking a Provider Account Manager to manage network operations and contracts for key accounts nationwide. The role focuses on fostering relationships with providers, collaborating across departments, and ensuring efficient processes in the fertility sector.

FertilityHealth CareMedical

Comp. & Benefits

No H1B

Responsibilities

Develop trusted partnerships with business managers, clinical leaders, and key decision-makers

Consistently present fertility outcome data to assigned accounts, ensuring physicians are informed about metrics and expectations

Collaborate across departments—including sales, client account management, business intelligence, member services, marketing/PR, and finance—to meet the diverse needs of stakeholders

Identify, assess, and implement new processes to improve efficiency in timely filing and claims payments

Work closely with employer services and marketing teams to achieve network management goals and provide customer insights for service enhancements

Represent Progyny as an expert at conferences, physician offices, and with employer clients

Deliver consistent educational updates regarding Progyny Rx, authorizations and claims, provider portal, and general business operations

Perform administrative tasks such as maintaining provider accounts, credentialing, and managing special projects

Lead negotiations of financial and operational contract terms with IVF and Reproductive Urology clinics, prioritizing unit cost management, client value, and clinical success

Help develop innovative contracting strategies and network discounts, including pay-for-performance models

Maintain and revise provider contracts in response to client benefit and programmatic changes

Build and expand senior-level relationships with fertility clinics in your region

Develop, negotiate, and finalize service agreements and reimbursement schedules, leveraging a thorough understanding of Progyny’s fertility services

Strategically analyze business models, budget cycles, and key decision-makers to maximize partnership opportunities

Qualification

Managed care contractingFertility sector experienceNegotiation skillsCRM systemsMS Office proficiencyCommunication skillsLeadership abilitiesProblem-solving mindsetOrganizational skillsPresentation skills

Required

4+ years of managed care contracting, negotiation, and/or sales experience in the fertility sector or women's health, with knowledge of reproductive endocrinology and infertility (REI) and/or reproductive urology RU

Background may include specialty pharmacy management (fertility), fertility nursing, clinic management, health plan administration, or fertility clinic business consulting

Solution-driven mindset—proactively addressing challenges

Highly organized, detail-oriented, and results-focused

Skilled at simplifying complex systems and delivering clear communications

Exceptional communication, interpersonal, leadership, coaching, and conflict resolution abilities

Outstanding presentation skills; comfortable speaking to large groups

Ability to manage multiple projects and deadlines simultaneously

Self-motivated with a commitment to producing thorough, client-ready work

Flexible and adaptable in a dynamic, fast-paced environment; ready to take on new and varied responsibilities

Proficient in MS Office and CRM systems

Bachelor's degree or relevant experience required

Willingness to travel by air up to eight days per month

Candidates must be based in the United States

Candidates must be authorized to work in United States without the need for sponsorship, now or in the future

Preferred

Advanced skills in pivot tables preferred

Benefits

Paid family and parental leave

Preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support)

Family and pet care fund

Parents’ Employee Affiliation Group

Menopause and midlife care

Health, dental, vision and life insurance options for employees and family

Free in-person, virtual and text-based mental health and wellness support

Paid time off, including vacation, sick leave, personal days and summer flex time

Company equity

Bonus program

401(k) plan with company match

Access to on-demand legal and financial advice

Learning and development programs to help you grow professionally and a mentorship program

Company social events to include annual volunteer day and donation matching

Flex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office

Company

Progyny, Inc.

Glassdoor3.8

Progyny (Nasdaq: PGNY) is a transformative fertility, family building and women’s health benefits solution, trusted by the nation’s leading employers, health plans and benefit purchasers.

Founded in 2008

New York, New York, USA

501-1000 employees