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Provider Engagement Account Manager

Provider Engagement Account Manager

Peach State Health PlanAugusta, GA, US
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You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you&rsquo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Territory Account Manager

Territory Account Manager

Crisis Prevention InstituteAugusta, GA, United States
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Crisis Prevention Institute Sales Representative.Crisis Prevention Institute Inc.CPI) is the worldwide leader in evidence-based de-escalation and crisis prevention training and dementia care servic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Account Manager II

Account Manager II

AmcorAugusta, GA, US
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Join a winning Amcor team that's transforming the packaging industry and improving lives around the world.At Amcor, we unpack possibility through our innovative and responsible packaging to provide...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Account Manager Commercial Lines

Account Manager Commercial Lines

Maine Insurance Agents AssociationAugusta, GA, US
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Assists in the production of new accounts and the retention of existing accounts.Provides prompt, efficient, high-quality service to designated accounts in support of Producer activities.Maintains ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Employee Benefits Account Manager

Employee Benefits Account Manager

AcrisureEvans, Georgia, USA
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Employee Benefits Account Manager.A global fintech leader Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward.Bringing cutting-edge te...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Associate Account Manager

Associate Account Manager

CarsAugusta, GA, US
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At Cars Commerce, we're fanatical about simplifying everything about car buying and selling.We do right by our customers and consumers to better connect the industry with simplified and tierless te...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Senior Account Manager

Senior Account Manager

VetcoveAugusta, GA, US
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Join our growing team at Vetcove, and help us transform how veterinarians buy the supplies they need to keep America's pets healthy. Vetcove's eCommerce and mobile platforms enable veterinary practi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Account Manager

Account Manager

CoursedogAugusta, GA, US
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Coursedog is building a next-generation Operating System for Higher Education.Founded by former Columbia University students, Coursedog is a high-growth SaaS company focused on its mission to break...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Account Manager (Partnerships)

Account Manager (Partnerships)

doolaAugusta, GA, US
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Account Manager (Partnerships).Remote in Latin America / Remote in Argentina / Remote in Uruguay.We empower entrepreneurs and businesses of all sizes to navigate the intricate landscape of financia...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Provider Engagement Account Manager

Provider Engagement Account Manager

CenteneAugusta, GA, US
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You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll ha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Remote Account Receivable Manager

Remote Account Receivable Manager

Jobs for HumanityAugusta, GA, US
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Remote Account Receivable Manager.Rowan Energy Norway is a dynamic and innovative company specializing in the oil, energy, gas, and petrochemical sectors. With a strong focus on crude oil drilling, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Account Manager - Life Sciences

Account Manager - Life Sciences

Cargo OneAugusta, GA, US
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Synonymous Job Title : Sr Account Manager Location : Remote in US.Overview : Expand existing relationships within assigned accounts. broadening the footprint, reach, and value-add impact for our custo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Sales / Account Manager III

Sales / Account Manager III

Staffing the UniverseAugusta, GA, United States
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Key Responsibilities : Ability to analyze vertical markets and select top sectors and partners.Engage partners in productive dialog. Quickly assess needs and potential.Direct to resources and engage ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Account Manager

Account Manager

Border StatesNorth Augusta, SC, US
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Be part of a growing, successful company in an exciting and challenging field.Border States is 100% employee-owned, which means you're empowered to make decisions, find solutions and receive reward...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Strategic Account Manager

Strategic Account Manager

SardineAugusta, GA, US
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We are a leader in fraud prevention and AML compliance.Our platform uses device intelligence, behavior biometrics, machine learning, and AI to stop fraud before it happens.Today, over 300 banks, re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Commercial Lines Account Manager

Commercial Lines Account Manager

Main Street Insurance GroupAugusta, GA, US
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Main Street Insurance Group is one of the fastest growing trusted independent insurance agencies in the Southeast, offering a comprehensive suite of insurance solutions to protect clients from the ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Account Manager Level 3

Account Manager Level 3

BloomerangAugusta, GA, US
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Bloomerang combines the best tools, resources, and people to provide a world-class experience for tens of thousands of nonprofits, allowing them to raise more money and do more good in the world.Ou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Private Client Account Manager

Private Client Account Manager

Marsh McLennanClearwater, South Carolina, USA
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Award-winning inclusive Top Workplace culture doesnt happen overnight.Its a result of hard work by extraordinary people.More than 9000 of the industrys brightest talent drive our efforts to deliver...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Manager, Account Management

Manager, Account Management

InfluentialAugusta, GA, US
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Influential is a key leader in the Influencer Marketing space and the largest influencer marketing company in the world, by revenue. Trusted by over 60% of the Fortune 500, we connect our clients wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Provider Engagement Account Manager

Provider Engagement Account Manager

Peach State Health PlanAugusta, GA, US
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Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

  • NOTE : Due to travel requirements, for this role, we are seeking candidates who live in Georgia, specifically Cobb, Dekalb, Fulton, or Gwinnett County

Position Purpose : Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.

  • Serve as primary contact for providers and act as a liaison between the providers and the health plan
  • Triages provider issues as needed and coordinates response with internal matrix partners.
  • Receive and effectively respond to external provider related issues
  • Manages provider performance for assigned territory through a consultative / account management approach
  • Evaluates provider performance and develops strategic plan to improve performance
  • Drives provider performance improvement in the following areas : Risk / P4Q, Health Benefit Ratio (HBR), HEDIS / quality, cost and utilization, etc.
  • Completes special projects as assigned
  • Ability to travel locally 4 days a week
  • Performs other duties as assigned
  • Complies with all policies and standards
  • Direct Provider Engagement : Conducts regular in-person visits with physicians to provide real-time support, discuss performance metrics, and identify opportunities for improvement in patient care and clinical practices.
  • Value-Based Care Model : Focuses on value-based care model initiatives, collaborating with physicians to identify and align to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care.
  • Performance Management : Uses data analytics to track and monitor provider performance, offering actionable feedback to help physicians optimize care delivery and meet key performance targets.
  • Education / Experience : Bachelor’s degree in related field or equivalent experience.

    Two years of provider engagement account management experience.

    Project management experience at a medical group, IPA, or health plan setting.

    Proficient in HEDIS / Quality measures, cost (MLR) and utilization.

    Account management experience strongly preferred.

    Pay Range : $55,100.00 - $99,000.00 per year

    Centene offers a comprehensive benefits package including : competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

    Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act