Job Description

Job Description

Job Description

Provider Engagement Account Manager
Location: Remote – Georgia (Cobb, Dekalb, Fulton, Gwinnett County – Travel >4 days per week within assigned territory)
Employment Type: Full-Time, Permanent/Direct Hire
Compensation: $55,000 – $99,000 annuall

About the Organization
A nationally recognized, mission-driven health organization dedicated to improving the health and well-being of millions of members across the U.S. Known for their innovative approach to healthcare delivery, collaborative culture, and strong focus on community impact.

Position Overview
As a Provider Engagement Account Manager , you will serve as the primary liaison between the health plan and its network of contracted healthcare providers. In this consultative and relationship-focused role, you’ll collaborate directly with physicians and healthcare leaders to drive improved performance across quality, cost, and utilization metrics — ultimately ensuring members receive the highest standard of care.

Key Responsibilities

• Serve as the main point of contact for assigned provider groups, maintaining strong relationships and resolving issues efficiently.
• Conduct regular in-person provider visits to review performance, share data insights, and identify improvement opportunities.
• Collaborate with internal teams to address provider concerns and drive network performance improvements related to HEDIS/quality, cost utilization, and value-based metrics.
• Analyze provider performance data to identify trends and develop actionable plans to enhance outcomes.
• Support value-based care initiatives by helping providers align with performance-based agreements that reward high-quality, cost-effective care.
• Track, monitor, and report on key performance metrics and strategic initiatives.
• Perform other duties and special projects as assigned.

Qualifications

• Bachelor’s degree in a related field (or equivalent combination of education and experience).
• 2+ years of provider engagement or account management experience in a managed care, IPA, or medical group setting.
• Proven ability to build strong provider relationships and facilitate performance improvement conversations.
• Knowledge of HEDIS/Quality measures, MLR, cost/utilization analysis, and value-based care models.
• Excellent communication, presentation, and problem-solving skills.
• Must reside within Georgia and be able to travel locally up to 4 days per week.

What’s in It for You

• Competitive pay with annual performance-based adjustments
• Medical, dental, and vision insurance
• 401(k) and employee stock purchase plans
• Paid time off plus holidays
• Tuition reimbursement and ongoing professional development
• Flexible work options — remote, hybrid, field-based, or office-based
• A mission-driven culture that values innovation, collaboration, and diversity

Join a national leader in healthcare transformation and help improve lives — one community at a time.
Apply today to learn more about this exciting opportunity and the organization behind it.

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