Provider Relationship Account Manager

Elevance Health

Provider Relationship Account Manager building positive provider relationships through in-person and virtual interactions for Elevance Health, ensuring provider satisfaction and network retention.

Posted 6/11/2026full-timeNew York City • New Jersey, New York • 🇺🇸 United StatesMid-LevelSenior💰 $77,556 - $121,392 per yearWebsite

About the role

Key responsibilities & impact

Develops and maintains positive provider relationships with the provider community by regular on-site and/or virtual/digital visits, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues
Serves as a knowledge and resource expert regarding provider issues impacting provider satisfaction and network retention; researches, analyzes, and coordinates prompt resolution to complex provider issues and appeals through direct contact with providers and internal matrixed partners
Collaborates within a cohort of internal matrix partners to triage issues and submit work requests
Generally, is assigned to a portfolio of providers within a defined cohort
Coordinates Joint Operation Committees (JOC) of provider groups, driving the meetings in the discussion of issues and changes
May assist Annual Provider Satisfaction Surveys, required corrective action plan implementation and monitoring education, contract questions and non-routine claim issues
Coordinates communications process on such issues as administrative and medical policy, reimbursement, and provider utilization patterns
Conducts proactive outreach to support the understanding of managed care policies and procedures, as well as on a variety of initiatives and programs
Participates in external Provider Townhalls/Seminars and attends State Association conferences (e.g.: MGMA, AFP, AAP, HFMA)
Identifies and reports on provider utilization patterns which have a direct impact on the quality-of-service delivery
Research issues that may impact future provider contract negotiations or jeopardize network retention

Requirements

What you’ll need

Requires a bachelor’s degree
minimum of 3 years of customer service experience including 2 years of experience in a healthcare or provider environment
Provider relations experience strongly preferred
Experience with medical coding/terminology preferred
Proficiency with Microsoft Office products, most notably expertise in Excel for reporting, Word, PowerPoint, Teams, and Outlook strongly preferred
Travels to worksite and other locations as necessary

Benefits

Comp & perks

a comprehensive benefits package
incentive and recognition programs
equity stock purchase and 401k contribution

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical codingmedical terminologyprovider relationscustomer service

Soft Skills

communicationcollaborationproblem-solvinganalytical skillsrelationship management