Provider Engagement Account Manager jobs in United States
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MDA Edge · 2 months ago

Provider Engagement Account Manager

MDA Edge is a company focused on maintaining partnerships between health plans and provider networks. The Provider Engagement Account Manager will serve as the primary contact for providers, improving performance and ensuring quality care delivery through relationship management and data analytics.

Human Resources

Responsibilities

Build and maintain relationships with providers to support high-quality, cost-effective member care
Serve as the main liaison between providers and the health plan
Address and resolve provider-related issues in collaboration with internal teams
Evaluate provider performance using data analytics and implement improvement strategies
Drive enhancements in value-based metrics including Risk/P4Q, HBR, HEDIS, quality, cost, and utilization
Conduct regular in-person meetings with physicians to review performance metrics and improvement opportunities
Support provider engagement in value-based care models focused on quality outcomes and cost efficiency
Manage assigned territory using consultative account management methods
Complete assigned projects and ensure compliance with all company policies

Qualification

Provider engagementAccount managementManaged care experienceHEDIS proficiencyProject managementAnalytical skillsCommunication skills

Required

Bachelor's degree in a related field or equivalent experience
Minimum two years of provider engagement or account management experience
Background in managed care, health plan, IPA, or medical group settings
Proficiency in HEDIS and quality measures, cost (MLR), and utilization management
Experience in project management and value-based care conversations with providers

Company

MDA Edge

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At MDA Edge, we help our clients reinvent innovation, optimize operations, and reshape perceptions—ensuring they remain at the forefront in today’s fast-evolving world.

Funding

Current Stage
Growth Stage
Company data provided by crunchbase