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Medicaid Provider Relationship Account Manager
Professional Management Enterprises (PME)Medicaid Provider Relationship Account Manager responsible for managing provider relationships and resolving issues in the healthcare environment. Conducting on-site and virtual visits to maintain provider satisfaction and network retention.
About the role
Key responsibilities & impact- Develop and maintain positive relationships with the provider community by conducting regular on-site and/or virtual/digital visits.
- Communicate administrative and programmatic changes to providers.
- Facilitate education and resolve provider issues promptly.
- Serve as a knowledge and resource expert regarding provider issues impacting provider satisfaction and network retention.
- Research, analyze, and coordinate prompt resolutions to complex provider issues and appeals through direct contact with providers and internal matrixed partners.
- Collaborate within a cohort of internal matrix partners to triage issues and submit work requests.
- Manage a portfolio of providers within a defined cohort.
- Coordinate Joint Operation Committees (JOC) with provider groups, driving meetings to discuss issues and changes.
- Assist with Annual Provider Satisfaction Surveys, implement required corrective action plans, and monitor educational activities, contract questions, and non-routine claim issues.
- Coordinate communications on administrative and medical policy, reimbursement, and provider utilization patterns.
- Conduct proactive outreach to support the understanding of managed care policies and procedures, as well as various initiatives and programs.
- Participate in external Provider Townhalls/Seminars and attend State Association conferences (e.g., MGMA, AFP, AAP, HFMA).
- Identify and report on provider utilization patterns that impact 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 in a healthcare or provider environment.
- Or any combination of education and experience which provides an equivalent background.
- Excellent oral, written, and interpersonal communication skills.
- Strong problem-solving, facilitation, and analytical skills.
- Ability to travel as required.
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Professional Management Enterprises (PME) Website LinkedIn All Job Openings 51 - 200 employees PME is a Minority and Service Disabled Veteran Owned Business founded in 2006, that is a highly valued teaming partner in multiple states to large corporations such as Humana, KPMG, Ernst and Young, Anthem, and HP to name a few. Additionally, we provide services in the areas of healthcare, IT, and professional services to Department of Defense and other Federal Government clients. We also are highly engaged in state work in our home state of Indiana, as well as multiple other states nationwide. We successfully leverage our abilities in Healthcare, Managed Care, IT, and Human Capital Services with our flexibility and robust performance. Medicaid Provider Relationship Account Manager 🔥 45 minutes ago 🏢🏡 Indianapolis – Hybrid 💵 $40 - $46 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior 💰 Account Manager Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Develop and maintain positive relationships with the provider community by conducting regular on-site and/or virtual/digital visits.
- Communicate administrative and programmatic changes to providers.
- Facilitate education and resolve provider issues promptly.
- Serve as a knowledge and resource expert regarding provider issues impacting provider satisfaction and network retention.
- Research, analyze, and coordinate prompt resolutions to complex provider issues and appeals through direct contact with providers and internal matrixed partners.
- Collaborate within a cohort of internal matrix partners to triage issues and submit work requests.
- Manage a portfolio of providers within a defined cohort.
- Coordinate Joint Operation Committees (JOC) with provider groups, driving meetings to discuss issues and changes.
- Assist with Annual Provider Satisfaction Surveys, implement required corrective action plans, and monitor educational activities, contract questions, and non-routine claim issues.
- Coordinate communications on administrative and medical policy, reimbursement, and provider utilization patterns.
- Conduct proactive outreach to support the understanding of managed care policies and procedures, as well as various initiatives and programs.
- Participate in external Provider Townhalls/Seminars and attend State Association conferences (e.g., MGMA, AFP, AAP, HFMA).
- Identify and report on provider utilization patterns that impact the quality of service delivery.
- Research issues that may impact future provider contract negotiations or jeopardize network retention. 🎯 Requirements
- Requires a Bachelor’s degree.
- Minimum of 3 years of customer service experience, including 2 years in a healthcare or provider environment.
- Or any combination of education and experience which provides an equivalent background.
- Excellent oral, written, and interpersonal communication skills.
- Strong problem-solving, facilitation, and analytical skills.
- Ability to travel as required. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Territory Manager 🕒 4 days ago BD 10,000+ employees ⚕️ Healthcare Insurance 💊 Pharmaceuticals 🔬 Science Website LinkedIn All Job Openings Territory Manager driving sales revenue to exceed division priorities and develop new business opportunities for leading medical technology company. 🏢🏡 Indianapolis – Hybrid 💰 $24M Grant on 2020-07 ⏰ Full Time 🟡 Mid-level 🟠 Senior 💰 Account Manager 🦅 H1B Visa Sponsor Channel Partner Manager 🕒 May 4 Authenticx 51 - 200 🤖 Artificial Intelligence 💊 Pharmaceuticals ⚕️ Healthcare Insurance Website LinkedIn All Job Openings Channel Partner Manager at Authenticx driving growth through the Technology Solutions Distributor ecosystem in the United States. Recruiting and managing Trusted Advisors to build business opportunities. 🏢🏡 Indianapolis – Hybrid ⏰ Full Time 🟡 Mid-level 🟠 Senior 💰 Account Manager Corporate Account Coordinator 🕒 April 30 Heritage Environmental Services 1001 - 5000 🤝 B2B 🚗 Transport ⚡ Energy Website LinkedIn All Job Openings As a Corporate Account Coordinator, manage customer account relationships and provide support to grow existing accounts. Focus on safety, compliance, and customer satisfaction within the waste management sector. 🏢🏡 Indianapolis – Hybrid ⏰ Full Time 🟡 Mid-level 🟠 Senior 💰 Account Manager Account Manager – Midwest 🕒 April 1 4MATIV Technologies 11 - 50 📚 Education 🚗 Transport ☁️ SaaS Website LinkedIn All Job Openings Account Manager overseeing transportation service delivery for multiple school districts in the Midwest. Building client relationships and ensuring effective operational execution for student transport. 🏢🏡 Indianapolis – Hybrid 💵 $50k - $80k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 💰 Account Manager Dealership Account Manager 🕒 December 22, 2025 Lendbuzz 201 - 500 💸 Finance 💳 Fintech Website LinkedIn All Job Openings Dealership Account Manager building partnerships with dealerships in automotive finance. Field-based role with daily dealership visits and a focus on driving growth. 🏢🏡 Indianapolis – Hybrid 💵 $50k - $150k / year ⏰ Full Time 🟢 Junior 🟡 Mid-level 💰 Account Manager 🦅 H1B Visa Sponsor View More Account Manager Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs
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Hard Skills & Tools
customer serviceproblem-solvingfacilitationanalytical skills
Soft Skills
oral communicationwritten communicationinterpersonal communication