Overview
Anticipated End Date:
2026-02-28
Position Title:
Provider Relationship Account Manager
Job Description:
JR182823 Provider Relationship Account Manager
Responsible for providing quality, accessible and comprehensive service to the company's provider community.
Location:
Hybrid 1: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Per policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered unless an accommodation is granted as required by law.
Responsibilities
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, it 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 quality-of-service delivery.
Research issues that may impact future provider contract negotiations or jeopardize network retention.
Minimum requirements
Requires a bachelor’s degree; minimum of 3 years of customer service experience including 2 years of experience in a healthcare or provider environment; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences
Ability to travel to worksites and other locations as needed.
Candidates should reside within a commutable distance to one of our Pulse locations in Washington.
For candidates working in person or virtually in the location(s) below, the salary range for this position is $75,624 to $113,436.
Locations: Washington State
Compensation and Benefits In addition to salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution. The salary offered is based on legitimate, non-discriminatory factors set by the Company. Elevance Health is committed to equal pay for equal work regardless of gender, race, or any other category protected by law. Details about bonus, stock, benefits, and other compensation remain in the Company’s sole discretion unless paid and may be modified at the Company’s discretion, in compliance with applicable law.
Job Details Job Level:
Non-Management Exempt
Workshift:
1st Shift (United States of America)
Job Family:
PND > Provider Relationship Account Mgmt
Please be advised that Elevance Health only accepts resumes for compensation from agencies with a signed agreement. Unsolicited resumes submitted to hiring managers are the property of Elevance Health.
About the Employer Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company looking for leaders who are passionate about making an impact on our members and the communities we serve.
Work Culture Elevance Health operates in a Hybrid Workforce Strategy. Associates are required to work at an Elevance Health location at least once per week unless specified as primarily virtual by the hiring manager. Time onsite requirements will be discussed during the hiring process. We provide market-competitive total rewards including benefits, paid time off, and retirement plans. Vaccination requirements may apply for certain patient/member-facing roles, subject to applicable laws. Elevance Health is an Equal Employment Opportunity employer. Applicants are considered without regard to age, citizenship status, color, creed, disability, ethnicity, gender identity, marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other protected status. Reasonable accommodations are available for applicants who require them in the application process. For assistance, contact the employer’s job support team.
#J-18808-Ljbffr
2026-02-28
Position Title:
Provider Relationship Account Manager
Job Description:
JR182823 Provider Relationship Account Manager
Responsible for providing quality, accessible and comprehensive service to the company's provider community.
Location:
Hybrid 1: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Per policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered unless an accommodation is granted as required by law.
Responsibilities
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, it 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 quality-of-service delivery.
Research issues that may impact future provider contract negotiations or jeopardize network retention.
Minimum requirements
Requires a bachelor’s degree; minimum of 3 years of customer service experience including 2 years of experience in a healthcare or provider environment; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences
Ability to travel to worksites and other locations as needed.
Candidates should reside within a commutable distance to one of our Pulse locations in Washington.
For candidates working in person or virtually in the location(s) below, the salary range for this position is $75,624 to $113,436.
Locations: Washington State
Compensation and Benefits In addition to salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution. The salary offered is based on legitimate, non-discriminatory factors set by the Company. Elevance Health is committed to equal pay for equal work regardless of gender, race, or any other category protected by law. Details about bonus, stock, benefits, and other compensation remain in the Company’s sole discretion unless paid and may be modified at the Company’s discretion, in compliance with applicable law.
Job Details Job Level:
Non-Management Exempt
Workshift:
1st Shift (United States of America)
Job Family:
PND > Provider Relationship Account Mgmt
Please be advised that Elevance Health only accepts resumes for compensation from agencies with a signed agreement. Unsolicited resumes submitted to hiring managers are the property of Elevance Health.
About the Employer Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company looking for leaders who are passionate about making an impact on our members and the communities we serve.
Work Culture Elevance Health operates in a Hybrid Workforce Strategy. Associates are required to work at an Elevance Health location at least once per week unless specified as primarily virtual by the hiring manager. Time onsite requirements will be discussed during the hiring process. We provide market-competitive total rewards including benefits, paid time off, and retirement plans. Vaccination requirements may apply for certain patient/member-facing roles, subject to applicable laws. Elevance Health is an Equal Employment Opportunity employer. Applicants are considered without regard to age, citizenship status, color, creed, disability, ethnicity, gender identity, marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other protected status. Reasonable accommodations are available for applicants who require them in the application process. For assistance, contact the employer’s job support team.
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