Join Fidelis Care as a Provider Engagement Account Manager and play a vital role in enhancing healthcare delivery for 28 million members. This position emphasizes building strong relationships with providers to boost performance and improve patient outcomes through data-driven strategies and a commitment to quality care.
Key Responsibilities
Maintain partnerships between the health plan and contracted provider networks
Conduct regular in-person visits with physicians to provide support and discuss performance
Focus on value-based care model initiatives
Use data analytics to track and monitor provider performance
Educate providers regarding policies and procedures
Manage network performance for assigned territory
Evaluate provider performance and develop strategic plans for improvement
Travel locally four days a week
Required Qualifications
Bachelor’s degree in related field or equivalent experience
Two years of managed care or medical group experience
Experience in provider relations, quality improvement, claims, contracting, or clinical operations
Preferred Qualifications
Project management experience at a medical group, IPA, or health plan setting
Proficient in HEDIS/Quality measures, cost and utilization
Benefits & Perks
Competitive payHealth insurance401K and stock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work schedules (remote, hybrid, field, or office)