Provider Relations Account Manager

Serve as the central point of contact for all WTCHP CCEs, ensuring clear communication, timely issue resolution, and strong program alignment.

Develop and maintain executive-level relationships with CCE leadership to promote transparency, trust, and long-term partnership success.

Act as the internal SME for CCE-specific workflows, including case management models, member coordination processes, unique operational needs, and interactions with the TPA provider network.

Coordinate internal execution of CCE needs by working closely with Benefits Administration, Member Services, Claims, Provider Network Management, and Operations leadership.

Support the implementation of new operational initiatives, service delivery enhancements, and process improvements that affect CCEs.

Build and reinforce a culture of collaboration, accountability, customer service excellence, and continuous process improvement across all provider engagement activities.

Facilitate regular business reviews with CCEs to discuss performance metrics, operational priorities, quality initiatives, compliance requirements, and strategic objectives.

Provide CCE-focused insights to TPA leadership to inform program operations, member experience enhancements, and provider network strategies.

Support the delivery of CCE-related data, reporting, and tools, ensuring alignment with CDC guidelines and WTCHP program requirements.

Manage escalations and coordinate internally to resolve member-impacting issues, ensuring appropriate follow-through and timely closure.

Maintain a deep understanding of the WTCHP mission and ensure that all provider engagement activities reflect the program’s commitment to 9/11 responders and survivors.

Will supervise/ manage a minimum of 2+ staff members .

Bachelor's degree and 5+ years of experience (work experience will be considered in lieu of degree)

Functional knowledge of all eight CCEs, including their structures, workflows, and operational practices.

Experience supporting or collaborating with federal healthcare programs, including familiarity with CDC program standards and compliance expectations.

Proven ability to manage executive-level provider relationships within large academic medical centers or integrated health systems.

Strong operational coordination skills with the ability to translate complex program needs into internal action plans.

Excellent communication, interpersonal, and problem-solving abilities. Demonstrated ability to manage escalations and drive resolution across cross-functional teams.

Mission-driven mindset with a deep commitment to supporting 9/11 responders and survivors.

Strong relationship management and diplomacy skills, including comfort engaging with senior CCE leadership.

Ability to drive coordination across multiple internal teams and ensure accountability for CCE needs.

Skilled at balancing high-level strategic understanding with attention to detailed operational requirements.

Exercises sound judgment and operates with integrity, transparency, and a service-oriented approach.

Scheduled Weekly Hours:

Work Location:

Additional Work Locations:

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