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  • Provider Network Concierge & Account Manager…

    Health Plans, Inc. (Westborough, MA)



    Apply Now

    Employers Health Network, LLC. provides comprehensive healthcare plans, which allow employers to provide exceptional quality healthcare benefits at the lowest possible cost. Our plans connect employees directly with the best healthcare providers and our fully transparent pricing allows customers to see, understand and control their healthcare benefit spending.

     

    Days and hours of work are Monday through Friday, 8:00 a.m. to 5:00 p.m.

    POSITION SUMMARY

    The Provider Network Concierge & Account Manager is a hybrid role focused on enhancing the healthcare experience for both members of the assigned account(s) and area providers. This position combines responsibilities across care coordination, provider relations, and account management. The individual will serve as a concierge-like guide for members in the greater Charlotte area, helping them navigate the healthcare system to access the care they need, while also acting as a liaison with healthcare providers to ensure satisfaction, smooth operations, and strong partnerships. The ideal candidate is highly service-oriented, strategic, and capable of fostering collaborative relationships within the self-funded healthcare space.

    ROLE AND RESPONSIBILISITES

    + Onsite Member Concierge Services: Provide high-touch, personalized support to members at local client site(s) by helping them understand their healthcare options, schedule appointments, coordinate referrals, and navigate local and specialty care resources.

    + Member Education: Educate members about their provider network options, including in-network providers, specialist access, and best practices for using their benefits efficiently.

    + Provider Relationship Management: Develop and maintain strong, collaborative relationships with providers, ensuring satisfaction and timely issue resolution.

    + Care Coordination: Partner with providers, third party administrators, and internal teams to ensure smooth transitions of care, continuity of services, and efficient coordination for complex or high-need cases.

    + Account Management: Act as the primary point of contact for assigned account(s) and local provider groups or facilities, addressing concerns, tracking performance, and supporting overall engagement.

    + Network Support: Monitor network adequacy and performance, identifying gaps in access and working to expand or optimize the provider network as needed in collaboration with EHN’s network team.

    + Training & Onboarding: Educate providers on network participation, organizational tools, policies, and expectations to support optimal participation and alignment.

    + Data & Reporting: Track provider engagement, member interactions, and service utilization; analyze trends to inform service improvements and strategic decisions.

    + Cross-functional Collaboration: Work closely with both internal teams (network, account management, operations, and analytics) as well as TPA teams (claims operations and customer service) to troubleshoot issues and deliver seamless support to providers and members.

    QUALIFICATIONS AND EDUCATION REQUIREMENTS

    + Bachelor’s degree preferred.

    + Minimum of 7 years in healthcare provider relations, care management / coordination, or account management, ideally with direct experience in a self-funded plan or TPA environment.

     

    WHY CHOOSE US?

     

    + Our Company Culture, with a commitment to quality care, our values are represented in the environment we have created for our own workforce. We are a company that grows through leadership, innovation and drive.

    + We offer a comprehensive benefits package, including medical, HAS, dental and vision plans as well as life and short and long-term disability, 401(k), and employee assistance programs.

    + So, think you want to join the Employers Health Network team? We hope to hear from you!

     

    Please include a cover letter with your application describing any experience you have working with or supporting the Charlotte health system (e.g., Piedmont, MUSC, or Atrium).

     

    You can read more about us at https://www.employershealthnetwork.com/careers/

     

    EHN provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, EHN complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

     

    EHN expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of EHN employees to perform their job duties may result in discipline up to and including discharge.

     


    Apply Now



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