SilverSummit Healthplan

Compensation

Full Description

Job Title: Provider Engagement Account Manager Company Overview: SilverSummit Healthplan is a leading healthcare organization dedicated to improving the health and well-being of our 28 million members across the nation. As part of the Centene family, we are committed to transforming community health through innovative solutions and compassionate care. Our diverse and inclusive culture fosters growth, collaboration, and a fresh perspective on workplace flexibility. Role Overview: As a Provider Engagement Account Manager, you will play a critical role in building and maintaining strong relationships with healthcare providers to ensure high-quality care delivery. You will act as a liaison between providers and our organization, driving engagement, resolving issues, and supporting provider network growth. What You'll Do: - You will develop and maintain strong, collaborative relationships with healthcare providers to enhance engagement and satisfaction. - You will identify and address provider concerns promptly to ensure seamless communication and service delivery. - You will collaborate with internal teams to support provider network expansion and optimize care coordination. - You will analyze provider performance data to identify opportunities for improvement and implement strategic initiatives. - You will conduct regular provider outreach and education to promote program awareness and compliance. - You will manage contract negotiations and renewals to support network stability and growth. - You will monitor regulatory changes and ensure provider adherence to compliance standards. - You will prepare detailed reports and presentations for leadership to inform decision-making. What You Bring: - Minimum of 3 years of experience in provider relations, account management, or healthcare administration. - Strong knowledge of healthcare provider networks, managed care, and regulatory requirements. - Excellent communication and interpersonal skills with the ability to build trust and influence stakeholders. - Proficiency in data analysis and reporting tools to drive informed decisions. - Ability to manage multiple priorities in a fast-paced, dynamic environment. Bonus Points If You Have: - Experience working within Medicaid or Medicare managed care organizations. - Familiarity with healthcare IT systems and electronic health records (EHR). - Proven track record of successful contract negotiation and provider engagement strategies. - Certification in healthcare management or related fields. What We Offer: - We offer competitive salary and comprehensive benefits including health, dental, and vision coverage. - We offer flexible remote work options to support work-life balance. - We offer professional development opportunities to help you grow your career. - We offer a supportive and inclusive workplace culture that values diversity. - We offer wellness programs and employee assistance resources. Ready to Apply? Submit your resume and cover letter through our careers page at SilverSummitHealthplan.com/careers. Join us in transforming community health, one person at a time.