Provider Networks Account Manager
$75,000–$95,000 year
On-site · Glendale, California, United States
Job Summary
Provider Networks Account Manager role overseeing provider engagement, performance improvement, and network oversight for contracted/subcontracted providers. Responsible for managing provider relationships, coordinating engagements, monitoring performance via scorecards, facilitating education and training, coordinating onboarding, and driving operational improvements to enhance provider performance, compliance, and member satisfaction. Partners with internal teams (Operations, Quality, Compliance, Credentialing, Care Management, Claims) to support provider operations, audits, and workflow documentation; develops action plans, tracks escalations, and communicates policy updates and program requirements. Focused on engagement, support, education, and continuous improvement rather than sales; ensures alignment with organizational objectives and high-quality outcomes.
Required Qualifications
- Bachelor’s degree in healthcare administration, business or a related field
- Requires 3 years of progressive experience in provider relations, healthcare operations, managed care, provider network operations, care coordination, or related healthcare environment
- Experience supporting provider engagement, provider operations, network management, or provider oversight activities
- Strong knowledge of healthcare operations, provider network management, healthcare regulations, and provider workflows
- Strong organizational, problem-solving, and relationship management skills
- Experience working with healthcare operational data, provider tracking systems, and reporting tools
- Proficiency with Microsoft Office applications, especially Excel and PowerPoint
- Excellent communication skills, both written and verbal, with the ability to effectively train and advise staff at all levels
- Requires strong problem-solving and customer service skills
- Must be a CA Resident and must reside in CA while employed
- Current and valid California (CA) Driver’s License
- Must use personal vehicle and current vehicle registration required
- Proof of auto insurance required, must maintain CA minimum insurance coverage
- CPR Certification required
Additional Requirements
- CA residency requirement
- CA driver’s license and vehicle insurance
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