Provider Relations Manager

Amwins-posted 2 months ago
Metairie, LA
5,001-10,000 employees
Insurance Carriers and Related Activities
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The Provider Relations Manager is responsible for leading and managing provider engagement initiatives across assigned facilities and clinics. This role requires a strategic professional with strong leadership capabilities, excellent communication skills, and the ability to build and sustain long-term provider relations. The Provider Relations Manager will oversee and develop provider relations specialists, ensure compliance with provider agreements, and foster an environment of continuous improvement in provider engagement programs. The primary objective of this role is to ensure clear communication of the provider programs, deliver high quality care for our customers, and foster seamless collaboration with provider partners.

  • Serve as the primary point of contact for assigned medical groups, addressing inquiries and resolving operational issues.
  • Facilitate provider onboarding, orientation, and training on systems, policies, and procedures.
  • Conduct regular outreach and site visits to maintain strong relationships and ensure alignment with organizational goals.
  • Monitor provider performance metrics and collaborate on improvement initiatives.
  • Support contract compliance and assist with updates or amendments as needed.
  • Collaborate with internal stakeholders (including managing directors, underwriting, claims) to resolve provider concerns and streamline processes.
  • Responsible for ensuring the maintenance of accurate provider records and documentation within internal systems.
  • Assist in the development of provider communications, newsletters, and educational materials.
  • Participate in cross-functional meetings to represent provider interests and share feedback.
  • Lead and mentor provider relations specialists to deliver exceptional service.
  • Represent the organization with confidence in meetings, presentations, and negotiations.
  • Ensure provider agreements are current, compliant, and aligned with business objectives.
  • Deliver impactful training and presentations to provider groups, reinforcing best practices.
  • 4+ years of experience in provider network management, case management, medical management, or a related healthcare field required.
  • 5 - 7 years of provider relations, account management, or business development experience preferred.
  • Demonstrated success in client-facing roles with strong presentation and negotiation skills.
  • Proficiency in Microsoft Office and the ability to manage multiple systems effectively.
  • Strong interpersonal skills with the ability to influence, persuade, and provide solutions.
  • Highly organized with excellent time-management skills.
  • Willingness to travel regularly to provider locations across local and national regions.
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