Provider Engagement Account Manager (Remote – GA Based)

Company Description

CRD Careers is a boutique recruitment agency specializing in Sales and HR placements.
We connect growth-minded companies with high-impact professionals who drive real results. Whether you're building a team or building a career, our approach is precise, people-first, and built for long-term success.

We don’t do buzzwords—we do outcomes.

Job Description

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

Qualifications

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.

Additional Information

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.

   

  Salary Range: The base salary range is USD $55,000 to $99,000 per year.

About Our Client and Benefits:

• Our client is a diversified, national organization committed to transforming the health of our communities.

   

• Total compensation may include additional forms of incentives.

   

• Benefits include: health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work.