Top 115 Account manager Jobs in Hazleton Pa

Provider Account Manager - Strategic Accounts
Highmark Inc. —Wilkes-Barre, PA
- Full-time
- Hybrid work
- Microsoft Excel
- Public speaking
- HIPAA
13d
Account Executive
Xplor —Hazleton, PA
- From $100,000 a year
- Email
- Remote
- Mid-level
- Driver's License
- US work authorization
- Health insurance
- 401(k)
Quick Apply
Account Executive
Xplor —Wilkes-Barre, PA
- From $100,000 a year
- Email
- Remote
- Mid-level
- Driver's License
- US work authorization
- Health insurance
- 401(k)
Quick Apply
B2B Account Executive, Outside Sales
Wholesale Payments Inc. —Pennsylvania
- $80,000 - $150,000 a year
- Full-time
- Mid-level
- Driving
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
Account Executive
Shorr Packaging Corp. —Hazleton, PA
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Account Manager - Central PA
Vision Benefits of America (VBA) —Wilkes-Barre, PA
- $70,000 - $80,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
- Dental insurance
- Vision insurance
Quick Apply
Account Executive, Membership Sales & Services
Wilkes-Barre/Scranton Penguins —Wilkes-Barre, PA
- Weekends as needed
- Mid-level
- Business development
- Bachelor's degree
10d
Senior Property & Casualty Account Manager
Community Financial System, Inc. —Wilkes-Barre, PA
- $72,000 - $124,686 a year
- Full-time
- Hybrid work
- 18 years or older
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
Insurance Account Representative - State Farm Agent Team Member
Peter Keselicka - State Farm Agent —Hazleton, PA
- $16 - $18 an hour
- Part-time
- Office
- Communication skills
- Marketing
- Paid time off
- 401(k) matching
Quick Apply
Account Coordinator, Commercial Lines
Gallagher —Wilkes-Barre, PA
- Basic math
- High school diploma or GED
- Continuous improvement
2d
Strategic Account Manager
Nexstar Broadcasting —Wilkes-Barre, PA
- Email
- Marketing
- Bachelor of Science
- Mid-level
Account Manager - Commercial Insurance (Construction / Contractors)
IOA National, Inc. —Wilkes-Barre, PA
- $65,000 - $80,000 a year
- Full-time
- Microsoft Outlook
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Senior Account Manager - Commercial Lines
Insurance Office of America, Inc. —Nanticoke, PA
- $80,000 - $100,000 a year
- Full-time
- Microsoft Outlook
- 5 years
- Research
- Paid holidays
- Health insurance
Quick Apply
Senior Account Manager (Fully Remote)
Insurance Office of America, Inc. —Nanticoke, PA
- $80,000 - $100,000 a year
- Full-time
- Microsoft Outlook
- 5 years
- Research
- Paid holidays
- Health insurance
Quick Apply
Multi-Media Advertising Account Executive
Cumulus Media New Holdings Inc. —Wilkes-Barre, PA
- $30,000 - $60,000 a year
- Full-time
- Mid-level
- Business development
- Communication skills
- Paid holidays
- Disability insurance
Commercial Lines Account Manager - Mid-Market
Seltzer Group Partners LLC —White Haven, PA
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Health savings account
- Paid holidays
Account Representative - State Farm Agent Team Member
Jennifer West - State Farm Agent —Wilkes-Barre, PA
- $39,000 - $50,000 a year
- Full-time
- Office
- Communication skills
- Marketing
- Health insurance
- Paid time off
Quick Apply
Account Representative - State Farm Agent Team Member
Tim Cronrath - State Farm Agent —Pottsville, PA
- $40,000 - $60,000 a year
- Full-time
- Office
- Communication skills
- Marketing
- 401(k)
- Paid time off
Quick Apply
Personal Lines Account Manager
Seltzer Group Partners LLC —Pottsville, PA
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health savings account
- Paid holidays
2d
Insurance Account Representative - State Farm Agent Team Member
Sybill Zola - State Farm Agent —West Hazleton, PA
- Full-time
- Office
- Communication skills
- Marketing
- Paid time off
- Opportunities for advancement
Quick Apply

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Provider Account Manager - Strategic Accounts

Highmark Inc. -
Wilkes-Barre, PA

Apply Now

Job Details

Full-time
13 days ago

Qualifications

Managed care organization experience
Presentations for conferences or internal meetings
Project management experience in healthcare

Full Job Description

Company :

Highmark Inc.

Job Description :

JOB SUMMARY

This job serves as the primary relationship owner and executive liaison for strategically aligned provider groups within the Highmark Network. The incumbent is wholly accountable for managing and optimizing assigned provider relationships across large, complex entities—including ancillary networks, independent physician organizations, and integrated delivery networks.

Acting as a dedicated strategic partner, the incumbent is responsible for supporting and executing Value-Based Reimbursement (VBR) performance improvement initiatives while actively identifying and driving Total Cost of Care (TCOC) reduction opportunities . This role maintains a highly visible presence in the provider community and collaborates across matrixed internal health plan departments, regional representatives, and external partners to enforce quality compliance (STAR/HEDIS), maximize operational efficiencies, and ensure the mutual financial and clinical success of our shared value-based programs.

ESSENTIAL RESPONSIBILITIES

Value-Based Reimbursement Support

Assume a leading role in the VBR activities, education, and implementation of new tools for all assigned providers.
Drive high-level interactions and support the value-based programs. Communicate with the appropriate business leaders on the VBR program participation, opportunity, performance, and progress. Engage appropriate resources, tools, analytics, and reports to enable success in the programs to drive better health outcomes, lower unit costs, and higher patient satisfaction for our members.

General Provider Support

Lead and manage relationship with assigned providers to proactively measure, anticipate and prevent problems as well as continually improve operational efficiencies and achieve corporate objectives around programs and strategic initiatives with providers. Educate providers on changes to reimbursement policies, processing requirements, and new technology offerings. Meet with contacts at various levels at key providers to ensure appropriate levels of communication and maintain harmonious relationships.
Lead and manage relationship with assigned providers to proactively measure, anticipate and prevent problems as well as continually improve operational efficiencies and achieve corporate objectives around programs and strategic initiatives with providers. Proactively identify provider issues; recommends solutions and ensures provider communicates the necessary support and resources to carry out solutions.
Ensure critical and timely communication to providers through on-going personal contacts, on-site field visits, regional communication sessions, and meetings with professional organizations to communicate initiatives and changes.

Internal Partnership

Coordinate in a matrixed liaison role with contracting, operations, and support areas to ensure the appropriate development and execution of initiatives, communication needs, and issue resolution. Triage and addresses issues raised by providers and routes communications to the appropriate area for handling.
May act as a conduit back to internal teams for provider input and feedback. Supports development and implementation of policy changes and communicates the provider perspective when representing the department on cross-functional teams, corporate initiatives, and tactical objectives.
Maintain current market knowledge, industry knowledge and innovation awareness to drive the change needed to transform the way healthcare is delivered and reimbursed.
Other duties as assigned or requested.

EXPERIENCE

Required

7 years of experience in healthcare / insurance industry
3 years of experience in presenting concepts to varying audiences

Preferred

5 years of experience in presenting concepts to varying audiences

SKILLS

In depth understanding of the provider community (market knowledge) and global understanding of care delivery models and the insurance industry.
Knowledge of reimbursement methodologies and models as well as financial and analytical modeling.
Public speaking skills.
Process/quality improvement and issue resolution skills.
Strong written and oral communication and organizational/project management skills
Broad knowledge and working experience with various software packages such as Microsoft PowerPoint, Excel, Word.
Knowledge of required compliance with Centers of Medicaid and Medicare services (CMS) laws and regulations, policies and guidelines regarding Medicare Advantage and Medicaid plans; HIPAA privacy and security regulations.

EDUCATION

Required

Bachelor’s degree in Business, Healthcare related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.

Preferred

None

LICENSES or CERTIFICATIONS

Required

None

Preferred

None

Language (Other than English):

None

Travel Requirement:

Less than 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office- or Remote-based

Teaches / trains others

Occasionally

Travel from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Occasionally

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at [email protected]

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Apply Now

Refine Your Search

account manager jobs in hazleton pa

Provider Account Manager - Strategic Accounts

Account Executive

Account Executive

B2B Account Executive, Outside Sales

Account Executive

Account Manager - Central PA

Account Executive, Membership Sales & Services

Senior Property & Casualty Account Manager

Insurance Account Representative - State Farm Agent Team Member

Account Coordinator, Commercial Lines

Strategic Account Manager

Account Manager - Commercial Insurance (Construction / Contractors)

Senior Account Manager - Commercial Lines

Senior Account Manager (Fully Remote)

Multi-Media Advertising Account Executive

Commercial Lines Account Manager - Mid-Market

Account Representative - State Farm Agent Team Member

Account Representative - State Farm Agent Team Member

Personal Lines Account Manager

Insurance Account Representative - State Farm Agent Team Member

I want to receive the latest job alert for account manager in hazleton pa

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