Full-Time Provider Engagement Account Manager (Remote - GA Based)
CRD Careers (Independent Recruiters) is hiring a remote Full-Time Provider Engagement Account Manager (Remote - GA Based). The career level for this job opening is Experienced and is accepting Lawrenceville, GA based applicants remotely. Read complete job description before applying.
CRD Careers (Independent Recruiters)
Job Title
Provider Engagement Account Manager (Remote - GA Based)
Posted
Career Level
Full-Time
Career Level
Experienced
Locations Accepted
Lawrenceville, GA
Salary
YEAR $55000 - $99000
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Job Details
We are seeking a consultative Provider Engagement Account Manager to join a leading national health plan. This role is responsible for maintaining strategic partnerships with contracted provider networks and driving optimal network performance through a consultative account management approach. The successful candidate will be accountable for improving contract incentives, quality outcomes, and cost utilization.
Essential Duties & Responsibilities:
- Direct Provider Engagement: Conduct regular in-person visits with physicians to provide real-time support, discuss performance metrics, and identify opportunities for improvement in patient care.
- Relationship Management: Serve as the primary contact for providers and act as a liaison between the providers and the health plan. Receive and effectively respond to external provider-related issues, triaging them with internal partners as needed.
- Performance Improvement: Evaluate provider performance and develop strategic plans to improve performance in key areas, including: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, and cost utilization.
- Value-Based Care: Focus on value-based care model initiatives, collaborating with physicians to align with performance-based agreements.
- Compliance: Ensure compliance with all policies and standards
Education & Experience (Required):
Bachelor's degree in a related field or equivalent experience. Minimum of two (2) years of provider engagement or account management experience at a medical group, IPA, or health plan setting. Project management experience is highly preferred.
Key Skills & Competencies:
Proficient in HEDIS/Quality measures, cost (MLR), and utilization metrics. Strong interpersonal skills to build client relations and ensure the delivery of the highest level of care. Demonstrated ability to evaluate provider performance and develop strategic plans. Must be able to manage provider performance for an assigned territory through a consultative approach.
Location and Work Environment:
Mandatory Location: Due to travel requirements, we are seeking candidates who live specifically in Cobb, Dekalb, Fulton, or Gwinnett County. Travel: This is a field-based role requiring local travel up to four (4) days a week.
FAQs
What is the last date for applying to the job?
The deadline to apply for Full-Time Provider Engagement Account Manager (Remote - GA Based) at CRD Careers (Independent Recruiters) is
18th of December 2025
. We consider jobs older than one month to have expired.
Which countries are accepted for this remote job?
This job accepts [
Lawrenceville, GA
] applicants. .
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