Provider Engagement Account Manager Jobs
Provider Engagement Account Manager jobs are open across healthcare, managed care, and health insurance, from associate to senior and director levels, with specializations in provider relations, network development, and value-based care contracting. Find a role that fits below and apply directly.
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Showing 5 of 42+ Provider Engagement Account Manager jobs
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.
Key Details: Due to travel requirements, for this role, we are seeking candidates, who live within 30 minutes of Macon, GA with the ability to travel up to 2 hours away.
- Serve as primary contact for providers and act as a liaison between the providers and the health plan
- Triages provider issues as needed for resolution to internal partners
- Receive and effectively respond to external provider related issues
- Investigate, resolve and communicate provider claim issues and changes
- Initiate data entry of provider-related demographic information changes
- Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics
- Perform provider orientations and ongoing provider education, including writing and updating orientation materials
- Manages Network 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
Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.
Project management experience at a medical group, IPA, or health plan setting.
Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
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
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.
Key Details: Due to travel requirements, for this role, we are seeking candidates, who live within 30 minutes of Macon, GA with the ability to travel up to 2 hours away.
- Serve as primary contact for providers and act as a liaison between the providers and the health plan
- Triages provider issues as needed for resolution to internal partners
- Receive and effectively respond to external provider related issues
- Investigate, resolve and communicate provider claim issues and changes
- Initiate data entry of provider-related demographic information changes
- Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics
- Perform provider orientations and ongoing provider education, including writing and updating orientation materials
- Manages Network 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
Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.
Project management experience at a medical group, IPA, or health plan setting.
Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
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
Provider Engagement Account Manager Jobs by Experience Level
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Find JobsProvider Engagement Account Manager Job Market
Who's Hiring
Top Industries Hiring
- Insurance
- Healthcare & Medical Services
- Technology & Software
What Employers Look For
The qualifications that appear most often in provider engagement account manager jobs.
- Two or more years of provider relations or network management experience in healthcare
- Knowledge of managed care contracts, credentialing processes, and provider reimbursement models
- Experience managing relationships with physician groups, hospitals, or ancillary providers
- Proficiency with CRM platforms and provider data management systems
- Strong verbal and written communication skills for provider education and issue resolution
- Bachelor's degree in healthcare administration, business, or a related field
Tips for Your Provider Engagement Account Manager Job Search
Tailor your resume to network metrics
Provider engagement account managers are evaluated on measurable outcomes, so your resume should call out provider satisfaction scores, network retention rates, or contract compliance improvements you owned. Hiring managers in this role scan for evidence you can move those numbers.
Highlight your provider-facing communication experience
Job postings for this role consistently ask for demonstrated experience managing relationships with physicians, hospital groups, or ancillary providers. Spell out the provider types you worked with and the volume of accounts you managed, not just that you handled relationships.
Apply early to roles that fit
Migrate Mate lists provider engagement account manager openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings by plan type or setting
Responsibilities differ sharply between Medicare Advantage, Medicaid managed care, and commercial plans. When searching, filter or scan job descriptions for the plan type you know best so your experience maps cleanly to what the employer actually needs.
Prepare a provider escalation scenario for interviews
Interviewers in this space almost always ask how you handled a frustrated provider or a contract dispute. Have a specific, structured example ready that shows you resolved the issue without damaging the relationship or the network's integrity.
Negotiate with network stability as your leverage
When the offer stage arrives, frame your value around provider retention and network performance rather than generic account management skills. That framing connects your compensation directly to outcomes the organization cares about and strengthens your negotiating position.
Provider Engagement Account Manager Jobs: Frequently Asked Questions
Which companies are hiring the most provider engagement account managers?
Centene, Optum, and Alignment Health are hiring the most provider engagement account managers right now, with openings concentrated in New York, Tennessee, and Texas, based on current listings on Migrate Mate as of November 2026. Demand is strongest at managed care organizations, regional health plans, and healthcare staffing firms.
How many provider engagement account manager jobs are remote?
About 93% of provider engagement account manager openings are fully remote or hybrid as of November 2026, though many roles still require travel to provider offices or regional offices for relationship-building. Sub-specializations focused on telephonic outreach and provider education tend to offer the most remote flexibility.
How do you become a provider engagement account manager?
Start by building experience in a provider-facing healthcare role such as provider relations coordinator, credentialing specialist, or network operations. From there, develop fluency in managed care contracting and payer-provider dynamics, then move into an account manager role where you own a defined provider portfolio. Certifications in healthcare management can accelerate the path.
Can you get hired as a provider engagement account manager with little experience?
Entry-level candidates are most competitive when they can demonstrate direct provider-facing experience, even from adjacent roles like member services, clinical operations, or practice management. Emphasizing familiarity with how providers bill, credential, and contract with payers signals readiness for the role and helps offset limited tenure in the exact title.
What does the provider engagement account manager interview process look like?
The process typically starts with a recruiter screen focused on healthcare background and provider relations experience, followed by a structured interview with the hiring manager covering account management scenarios and knowledge of managed care. A final round often includes a panel with network or clinical operations leaders and a situational exercise involving a provider escalation or contract issue.
Where can I find and apply to provider engagement account manager jobs?
You can find and apply to provider engagement account manager jobs on Migrate Mate, which lists current openings from across the United States. Find the roles that match your background and apply directly to each listing from the page.
See All 42 Provider Engagement Account Manager Jobs
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