JOB SUMMARY

The provider engagement program is key to the overall growth of Community Health Choice. As a Provider Growth Account Manager, you will join a hungry, collaborative team, holding multiple meetings a day with providers while also utilizing creative outreach to engage the providers and grow our Medicaid products. The account manager's role will prospect and build relationships with assigned providers, leverage CRM (Salesforce.com) to capture and report on all activity and market feedback. Maintaining an organized calendar of prospect meetings and communicating proactively, both internally with colleagues and externally with providers to achieve KPIs, while also employing a growth mindset, experimenting with tactics to generate membership growth.

JOB SPECIFICATIONS

• Build, manage and maintain strong relationships with communities, select provider participants and associations to build trust and align work with the State and health plan priorities. Represent Community Health Choice at market meetings, forums, events, and conferences, as assigned.
• Resolve member and/or provider issues while demonstrating an understanding of all Texas Medicaid & Medicare lines of business as they apply to managed care to facilitate marketing.
• Coordinate complaint formal and informal events to open the door for growth, brand awareness, provider, member, and community education.
• Engage select provider program participants with face-to-face and virtual visits. Track all activities, events, contacts, and relationship progress daily through internal systems and platforms.
• Provide recommendations to leadership regarding sponsorship for special projects and subsequently, manage the end-to-end process.
• Educate providers on general policies and procedures applicable to the delivery of care (e.g., regulatory, quality of care, health plan benefits and online tools and resources).
• Actively contributes to achievement of departmental goals, as identified in
• Departments annual business plan, including specific departmental processes.
• improvement plans, and other duties as assigned.

QUALIFICATIONS:

• Education/Specialized Training/Licensure: High School Diploma or Equivalent required.
• Work Experience (Years and Area): 4 years relevant work experience of which: 2 (two) year of health care / plan or selling / marketing to providers.
• Account management experience
• Experience with Salesforce
• Proven record of prospecting
• Software Proficiencies: Microsoft Suite, CRM
• Outstanding verbal and written communication skills
• Excellent interpersonal and customer service skills are required with the ability to develop and maintain a positive relationship with both external and internal stakeholders.
• Builder mindset: we do not have the playbook and things are constantly evolving.