Provider Engagement Account Manager
$55.1k/y-$99k/y
3 days ago
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OnsiteFull-timeMid
Summary
Louisiana Healthcare Connections is seeking a Provider Engagement Account Manager to join their team in New Orleans, LA. The role focuses on maintaining partnerships between the health plan and contracted provider networks to ensure high-quality care for members.
About the Role
As a Provider Engagement Account Manager, you will serve as the primary contact for providers, triaging issues, educating them on policies, and managing network performance. Your responsibilities include conducting in-person visits, utilizing data analytics for performance management, and driving improvements in quality and cost utilization. You will also handle provider claim issues and perform ongoing education and orientation for providers.
About You
Required:
- Bachelor's degree in a related field or equivalent experience.
- Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.
Preferred:
- Project management experience at a medical group, IPA, or health plan setting.
- Proficient in HEDIS/Quality measures, cost and utilization.
Benefits
- Competitive pay with a salary range of $55k–$99k per year.
- Comprehensive benefits package including health insurance, 401K, stock purchase plans, tuition reimbursement, and paid time off.
Louisiana Healthcare Connections
As the largest Medicaid health plan in the state, Louisiana Healthcare Connections proudly serves more than 400,000 Louisianans. We provide children and families in need with quality healthcare coverage that improves health outcomes. With offices in Baton Rouge, Lafayette, and Covington, our 600-plus Louisiana employees work with physicians and community organizations to help all of our members achieve health and wellness.
New Orleans, LA