Provider Relationship Account Manager, Community Engagement Louisiana Crisis Hub

Anticipated End Date:

2025-07-28

Position Title:

Provider Relationship Account Manager, Community Engagement Louisiana Crisis Hub

Job Description:

Provider Relationship Account Manager, Community Engagement Louisiana Crisis Hub

Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

Location: This is a field-based position for the state of Louisiana. You must reside within the assigned region, and Louisiana residency is required.

Regional coverage areas & parishes: 

• 7 & 8: Caddo, Bossier, Webster, Claiborne, Bienville, DeSoto, Red River, Sabine, Natchitoches, Union, Morehouse, West Carroll, East Carroll, Lincoln, Jackson, Ouachita, Richland, Madison, Caldwell, Franklin, Tensas 

TRAVEL: Up to 90% travel is required within the northern region of Louisiana and occasionally to other parts of the state as required by contract needs.

Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.

The Provider Relationship Account Manager, Community Engagement Louisiana Crisis Hub is responsible for developing and maintaining positive relationships with the provider community by regular on-site and/or virtual/digital visits, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues. Will serve as the Louisiana Crisis Hub representative in their respective communities and be a liaison with providers, crisis stakeholders, and the general public.

• Developing and maintaining positive and productive relationships with the provider community through regular on-site and/or virtual visits as indicated by marketing and outreach plan.
• Serving as a conduit for external communications, including updates on administrative and programmatic changes.
• Provider education and resolution or escalation of provider concerns and issues.
• Attendance at in-person and virtual community events and meetings to strategically develop and nurture critical relationships.
• General promotion of the Crisis Hub to both the general population and targeted providers and stakeholders.
• Establishment of organized and chartered Community Collaboratives, inclusive of identified key stakeholders, providers, and other members, whose focus will be on data-driven review of the Louisiana Crisis System and soliciting actionable feedback from participants to drive localized initiatives that improve local community access to effective crisis services. Each collaborative will focus on creating on a common understanding of crisis system expectations statewide while addressing local needs and concerns in a culturally-sensitive and nuanced way.
• Support the overall outreach activities of the team by occasionally supporting or participating in events or meetings in neighboring service areas. It may also be necessary at times to flex worked time in order to attend events that happen in the evening or on weekends.
• Serves as a knowledge and resource expert regarding provider issues impacting provider satisfaction and network retention; researches, analyzes, and coordinates prompt resolution to complex provider issues and appeals through direct contact with providers and internal matrixed partners. 
• Generally, is assigned to a portfolio of providers within a defined cohort.
• May assist Annual Provider Satisfaction Surveys, required corrective action plan implementation and monitoring education, contract questions and non-routine claim issues.
• Research issues that may impact future provider contract negotiations or jeopardize network retention. 

Minimum Requirements:

• Requires a bachelor’s degree; minimum of 3 years of customer service experience including 2 years of experience in a healthcare or provider environment; or any combination of education and experience, which would provide an equivalent background. Travels to worksite and other locations as necessary.

Preferred Skills, Capabilities and Experiences:

• Presentation and public speaking experience strongly preferred.
• Experience working remotely and bearing responsibility for a significant geographical area strongly preferred.
• Provider relations experience, particularly in healthcare strongly preferred.