10,704 Healthcare Provider jobs in the United States

We Provide Solutions. Patients and Physicians rely on our diagnostic testing, information, and services to help them make better healthcare decisions. These are often serious decisions with far reaching consequences, and require sensitivity, tact, and a clear dedication to service. It's about providing clarity and hope.

The Healthcare Provider Account Manager is responsible for driving territory growth and profitability through providing service and resolution of issues in support of several sales territories. The HCP Account Manager has call point ownership of accounts within their assigned geography and will partner with specialty account executives to assist in upselling testing in various physician segments.

This is a field-based sales position.

• Manage accounts through ongoing business reviews of service, logistics and supplies to identify customer needs.
• Drive sales growth in existing key accounts through targeting new sales opportunities and identifying and closing potential leakage opportunities.
• Ensure customer retention by maintaining relationships with current accounts and managing ~$10M book of business.
• Drive growth in their assigned Key Accounts.
• Prepare and present Customer Business Reviews.
• Identification and pursuit of up-selling and cross-selling opportunities "Specialty" Account Executives and Sales Director.
• Partner with specialty account executives on complex clinical discussions.
• Partner with Customer Solutions Group to facilitate, prioritize and resolve customer service issues.
• Escalate service issue non-resolution as appropriate.
• Leverage all tools and resources (including data, SFDC, target lists; Marketing Department, Laboratory resources, and regional resources as needed).
• Provide continuing education to the customer on new technologies and laboratory testing.
• Ensure compliance with company polices and government regulations.
• Follow up communications with Sales Director, Specialty Account Executives and Internal/External Customers.

ADMINISTRATIVE

• Accurately forecast monthly and quarterly sales.
• Effectively manage pipeline via Salesforce.com (SFDC) platform.
• Consistently perform administrative responsibilities, such as, expense reports, sales reports, and other business requests.
• Perform all trainings within assigned timelines, demonstrating proficiency.
• Ensure compliance with company polices and government regulations.

Required Work Experience:

• Three years of experience in sales with account ownership.

Knowledge:

• Knowledge of Healthcare Industry and general economics of business.
• Ability to develop and sustain strong customer relationships, strong planning and organizational skills.
• Excellent oral and written communication and presentation skills.
• Solid PC skill including Microsoft Software.

Education:

Bachelor's Degree Required

Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.

We Provide Solutions. Patients and Physicians rely on our diagnostic testing, information, and services to help them make better healthcare decisions. These are often serious decisions with far reaching consequences, and require sensitivity, tact, and a clear dedication to service. It's about providing clarity and hope.

The Healthcare Provider Account Manager is responsible for driving territory growth and profitability through providing service and resolution of issues in support of several sales territories. The HCP Account Manager has call point ownership of accounts within their assigned geography and will partner with specialty account executives to assist in upselling testing in various physician segments.

This is a field-based sales position with daily travel within the Flushing/Queens market.

• Manage accounts through ongoing business reviews of service, logistics and supplies to identify customer needs.
• Drive sales growth in existing key accounts through targeting new sales opportunities and identifying and closing potential leakage opportunities.
• Ensure customer retention by maintaining relationships with current accounts and managing a book of business.
• Drive growth in their assigned Key Accounts.
• Prepare and present Customer Business Reviews.
• Identification and pursuit of up-selling and cross-selling opportunities "Specialty" Account Executives and Sales Director.
• Partner with specialty account executives on complex clinical discussions.
• Partner with Customer Solutions Group to facilitate, prioritize and resolve customer service issues.
• Escalate service issue non-resolution as appropriate.
• Leverage all tools and resources (including data, SFDC, target lists; Marketing Department, Laboratory resources, and regional resources as needed).
• Provide continuing education to the customer on new technologies and laboratory testing.
• Ensure compliance with company polices and government regulations.
• Follow up communications with Sales Director, Specialty Account Executives and customers _OR_ Internal/External Customers.

ADMINISTRATIVE

• Accurately forecast monthly and quarterly sales.
• Effectively manage pipeline via Salesforce.com (SFDC) platform.
• Consistently perform administrative responsibilities, such as, expense reports, sales reports, and other business requests.
• Perform all trainings within assigned timelines, demonstrating proficiency.
• Ensure compliance with company polices and government regulations.

Required Work Experience:

• Three years of experience in sales with account ownership.

Knowledge:

• Bilingual in Mandarin or Cantonese a plus
• Knowledge of Healthcare Industry and general economics of business.
• Ability to develop and sustain strong customer relationships, strong planning and organizational skills.
• Excellent oral and written communication and presentation skills.
• Solid PC skill including Microsoft Software.

Education:

Bachelor's Degree Required

Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.

We Provide Solutions. Patients and Physicians rely on our diagnostic testing, information, and services to help them make better healthcare decisions. These are often serious decisions with far reaching consequences, and require sensitivity, tact, and a clear dedication to service. It's about providing clarity and hope.

The Healthcare Provider Account Manager is responsible for driving territory growth and profitability through providing service and resolution of issues in support of several sales territories. The HCP Account Manager has call point ownership of accounts within their assigned geography and will partner with specialty account executives to assist in upselling testing in various physician segments.

This is a field-based sales position with daily travel throughout the Milwaukee, Madison and Green Bay territories.

• Manage accounts through ongoing business reviews of service, logistics and supplies to identify customer needs.
• Drive sales growth in existing key accounts through targeting new sales opportunities and identifying and closing potential leakage opportunities.
• Ensure customer retention by maintaining relationships with current accounts and managing a book of business.
• Drive growth in their assigned Key Accounts.
• Prepare and present Customer Business Reviews.
• Identification and pursuit of up-selling and cross-selling opportunities "Specialty" Account Executives and Sales Director.
• Partner with specialty account executives on complex clinical discussions.
• Partner with Customer Solutions Group to facilitate, prioritize and resolve customer service issues.
• Escalate service issue non-resolution as appropriate.
• Leverage all tools and resources (including data, SFDC, target lists; Marketing Department, Laboratory resources, and regional resources as needed).
• Provide continuing education to the customer on new technologies and laboratory testing.
• Ensure compliance with company polices and government regulations.
• Follow up communications with Sales Director, Specialty Account Executives and customers _OR_ Internal/External Customers.

ADMINISTRATIVE

• Accurately forecast monthly and quarterly sales.
• Effectively manage pipeline via Salesforce.com (SFDC) platform.
• Consistently perform administrative responsibilities, such as, expense reports, sales reports, and other business requests.
• Perform all trainings within assigned timelines, demonstrating proficiency.
• Ensure compliance with company polices and government regulations.

Required Work Experience:

• Three years of experience in sales with account ownership.

Knowledge:

• Knowledge of Healthcare Industry and general economics of business.
• Ability to develop and sustain strong customer relationships, strong planning and organizational skills.
• Excellent oral and written communication and presentation skills.
• Solid PC skill including Microsoft Software.

Education:

• Bachelor's Degree Required
  
  

Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.

Join Centene and be a pivotal part of transforming healthcare for our 28 million members! As a diversified national organization, we offer competitive benefits and a fresh perspective on workplace flexibility.

Position Purpose: Foster valuable partnerships between our health plan and the provider networks to ensure the highest standard of care for our members. Engage with providers to identify performance opportunities, drive solutions, and hold accountability for issue resolution while enhancing contract incentive performance, quality, and cost utilization.

• Act as the primary contact for providers, liaising between them and the health plan.
• Address and triage provider issues in collaboration with internal partners.
• Respond efficiently to external provider-related inquiries.
• Investigate, resolve, and communicate provider claim issues and procedural changes.
• Manage data entry for provider demographic information updates.
• Educate providers on policies and procedures regarding referrals, claims submission, website usage, and EDI processes.
• Conduct provider orientations and provide ongoing education through the development and revision of orientation materials.
• Oversee network performance in assigned territories through a consultative management approach.
• Evaluate provider performance and create strategic plans for improvement.
• Drive enhancements in provider performance areas including Risk/P4Q, Health Benefit Ratio (HBR), HEDIS quality measures, and cost/utilization metrics.
• Complete special projects as assigned.
• Willingness to travel locally up to four days per week.
• Perform other duties as assigned and comply with all policies and standards.

Education/Experience: A bachelor's degree in a related field or equivalent experience is required. Candidates should have two years of experience in managed care, provider relations, quality improvement, claims, contracting, utilization management, or clinical operations. Project management experience in a medical group, IPA, or health plan setting is essential.

Proficiency in HEDIS/Quality measures, cost, and utilization is also required.

Generous pay range: $55,100.00 - $99,000.00 per year.

Centene provides a comprehensive benefits package, including competitive pay, health insurance, a 401K plan, stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work options (remote, hybrid, field, or office). Compensation will be based on individual skills, experience, education, and other job-related factors as permitted by law. Additional incentives may also be part of the total compensation package.

As an equal opportunity employer, Centene values diversity and is committed to creating an inclusive environment for all. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any 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.

Join Centene and be a pivotal part of transforming healthcare for our 28 million members! As a diversified national organization, we offer competitive benefits and a fresh perspective on workplace flexibility.

Position Purpose: Foster valuable partnerships between our health plan and the provider networks to ensure the highest standard of care for our members. Engage with providers to identify performance opportunities, drive solutions, and hold accountability for issue resolution while enhancing contract incentive performance, quality, and cost utilization.

• Act as the primary contact for providers, liaising between them and the health plan.
• Address and triage provider issues in collaboration with internal partners.
• Respond efficiently to external provider-related inquiries.
• Investigate, resolve, and communicate provider claim issues and procedural changes.
• Manage data entry for provider demographic information updates.
• Educate providers on policies and procedures regarding referrals, claims submission, website usage, and EDI processes.
• Conduct provider orientations and provide ongoing education through the development and revision of orientation materials.
• Oversee network performance in assigned territories through a consultative management approach.
• Evaluate provider performance and create strategic plans for improvement.
• Drive enhancements in provider performance areas including Risk/P4Q, Health Benefit Ratio (HBR), HEDIS quality measures, and cost/utilization metrics.
• Complete special projects as assigned.
• Willingness to travel locally up to four days per week.
• Perform other duties as assigned and comply with all policies and standards.

Education/Experience: A bachelor's degree in a related field or equivalent experience is required. Candidates should have two years of experience in managed care, provider relations, quality improvement, claims, contracting, utilization management, or clinical operations. Project management experience in a medical group, IPA, or health plan setting is essential.

Proficiency in HEDIS/Quality measures, cost, and utilization is also required.

Generous pay range: $55,100.00 - $99,000.00 per year.

Centene provides a comprehensive benefits package, including competitive pay, health insurance, a 401K plan, stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work options (remote, hybrid, field, or office). Compensation will be based on individual skills, experience, education, and other job-related factors as permitted by law. Additional incentives may also be part of the total compensation package.

As an equal opportunity employer, Centene values diversity and is committed to creating an inclusive environment for all. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any 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.

• Manage accounts through ongoing business reviews of service, logistics and supplies to identify customer needs.
• Drive sales growth in existing key accounts through targeting new sales opportunities and identifying and closing potential leakage opportunities.
• Ensure customer retention by maintaining relationships with current accounts and managing a book of business.
• Drive growth in their assigned Key Accounts.
• Prepare and present Customer Business Reviews.
• Identification and pursuit of up-selling and cross-selling opportunities "Specialty" Account Executives and Sales Director.
• Partner with specialty account executives on complex clinical discussions.
• Partner with Customer Solutions Group to facilitate, prioritize and resolve customer service issues.
• Escalate service issue non-resolution as appropriate.
• Leverage all tools and resources (including data, SFDC, target lists; Marketing Department, Laboratory resources, and regional resources as needed).
• Provide continuing education to the customer on new technologies and laboratory testing.
• Ensure compliance with company polices and government regulations.
• Follow up communications with Sales Director, Specialty Account Executives and customers _OR_ Internal/External Customers.

• Accurately forecast monthly and quarterly sales.
• Effectively manage pipeline via Salesforce.com (SFDC) platform.
• Consistently perform administrative responsibilities, such as, expense reports, sales reports, and other business requests.
• Perform all trainings within assigned timelines, demonstrating proficiency.
• Ensure compliance with company polices and government regulations.

• Three years of experience in sales with account ownership.

• Bilingual in Mandarin or Cantonese a plus
• Knowledge of Healthcare Industry and general economics of business.
• Ability to develop and sustain strong customer relationships, strong planning and organizational skills.
• Excellent oral and written communication and presentation skills.
• Solid PC skill including Microsoft Software.

• Manage accounts through ongoing business reviews of service, logistics and supplies to identify customer needs.
• Drive sales growth in existing key accounts through targeting new sales opportunities and identifying and closing potential leakage opportunities.
• Ensure customer retention by maintaining relationships with current accounts and managing a book of business.
• Drive growth in their assigned Key Accounts.
• Prepare and present Customer Business Reviews.
• Identification and pursuit of up-selling and cross-selling opportunities "Specialty" Account Executives and Sales Director.
• Partner with specialty account executives on complex clinical discussions.
• Partner with Customer Solutions Group to facilitate, prioritize and resolve customer service issues.
• Escalate service issue non-resolution as appropriate.
• Leverage all tools and resources (including data, SFDC, target lists; Marketing Department, Laboratory resources, and regional resources as needed).
• Provide continuing education to the customer on new technologies and laboratory testing.
• Ensure compliance with company polices and government regulations.
• Follow up communications with Sales Director, Specialty Account Executives and customers _OR_ Internal/External Customers.

• Accurately forecast monthly and quarterly sales.
• Effectively manage pipeline via Salesforce.com (SFDC) platform.
• Consistently perform administrative responsibilities, such as, expense reports, sales reports, and other business requests.
• Perform all trainings within assigned timelines, demonstrating proficiency.
• Ensure compliance with company polices and government regulations.

• Three years of experience in sales with account ownership.

• Knowledge of Healthcare Industry and general economics of business.
• Ability to develop and sustain strong customer relationships, strong planning and organizational skills.
• Excellent oral and written communication and presentation skills.
• Solid PC skill including Microsoft Software.

• Bachelor's Degree Required

*TEKsystems is seeking a Montana based Healthcare Provider Network Manager*
*This is a 9-12 month W2 contract with high likelihood of long term extension and potential FTE conversion.*
*Candidates MUST live in Montana and be willing to travel between client sites on an as needed basis.*
*This is a remote position with some travel around Montana.*
*Candidates MUST be authorized to work in the US for any employer without the need for sponsorship. This role is not C2C eligible.*
*Job Description*
Provider Network Manager. The individual we are looking for would be in the Montana market that has existing experience or relationships with hospital systems in this state. This role needs someone with an advance health system skill set.
*Required Skills:*

* Contract Management & Negotiation
* Sales
* Montana Health Systems
* Hospital Contract Negotiations
* Relationship Building
* Provider Network Management and Implementation
* Healthcare Systems Management
* Project Management
* Data Analysis
*Job Duties:*

* Responsible for the management of complex provider network management programs and initiatives.
* Monitors and audits financial performance of assigned programs.
* Analyzes, reviews, and projects financial impacts of network arrangements.
* Develops and maintains cost efficient networks and/or programs and identify areas of opportunity for greater efficiency and risk mitigation.
* Ensures accurate implementation and administration of executed networks and/or programs.
* Implements reimbursement strategies designed to control healthcare costs.
* Utilizes data from multiple sources to recommend innovative payment initiatives and methodologies.
* Prepares and presents financial performance reports on assigned networks to leadership.
* Formulates, analyzes, coordinates, and negotiates contracts with provider networks.
* Maintains documentation related to processes and procedures, training materials, program descriptions and technical program requirements.
* Prepares and presents to healthcare organizations, clients, and internal business partners.
* Established productive, professional provider relationships with key stakeholders and maintains provider satisfaction through assessment and response to on-going provider needs.
* May identify provider payment or utilization variations and take action to resolve. Communicates variations to leadership.
* Performs other duties and responsibilities as assigned.
*Responsibilities:*

* Identifies strategic opportunities for standard and/or complex contracts to increase cost savings and monitor successful financial performance
* Manages, formulates, analyzes, coordinates, and/or negotiates contracts with large healthcare systems, provider networks, and/or provider programs.
* Manages contracting process, contract negotiations, execution, and implementation of contract and payment methodologies
* May define, facilitate, and manage scope, goals. Deliverables, business requirements, and timelines for assigned projects/programs
* May lead project management responsibilities for integrated networks and other strategic plans
* May coordinate with key partners to ensure business needs are clearly understood and the technology implemented meets the needs and expectations of the business
*Experience:*

* 6 years' provider contract/network management, provider reimbursement methodologies, contracting, negotiation, or relevant experience
*Education: *

* Bachelor's Degree or equivalent work experience (Two years' relevant work experience is equivalent to one-year college)
*Additional Skills & Qualifications*
Must have experience working with hospital systems in Montana
*Experience Level*
Expert Level
*Estimated Start Date: *
Mid-July
*Pay and Benefits*
The pay range for this position is $50.00 - $57.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*
This is a hybrid position in Billings,MT.
*Application Deadline*
This position is anticipated to close on Jul 29, 2025.
h4>About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.