Provider Relations Manager - Account Engagement

Must have familiarity with the Ohio Medicaid and Medicare landscape Willingness to travel regularly within Ohio and Ohio markets (up to 50%) Must have familiarity with the Ohio Medicaid and Medicare landscape Willingness to travel regularly within Ohio and Ohio markets (up to 50%) The Provider Relations Manager – CKD will serve as a field-based, market-facing relationship leader responsible for developing, managing, and deepening strategic partnerships with nephrology practices, primary care groups, dialysis providers, hospitals, and other CKD‑related referral partners across the Ohio market. This role is ideal for a candidate with strong provider‑facing experience, including pharmaceutical, biotech, medical device, specialty pharmacy, managed care, or healthcare account management experience. The successful candidate will bring a disciplined territory‑management approach, strong clinical curiosity, and the ability to engage providers in meaningful conversations around CKD progression, cardio‑renal‑metabolic risk, care coordination, and value‑based care. The role will focus on identifying and prioritizing high‑value nephrology and CKD referral partners, educating practices on AbsoluteCare’s CKD care model, supporting provider onboarding and engagement, and using data to drive relationship strategy, practice‑level follow‑up, and measurable provider engagement outcomes. Through AbsoluteCare’s Beyond Medicine™ model, this individual will help advance partnerships that support earlier identification, coordinated care, member engagement, and improved outcomes for patients living with chronic kidney disease. Duties And Responsibilities Provider Engagement, Education & Account Management Build and maintain trusted relationships with nephrologists, advanced practice providers, practice administrators, office managers, dialysis partners, primary care providers, and other CKD‑related specialists across the assigned market. Conduct proactive field-based outreach to priority nephrology practices using a structured territory plan, account segmentation strategy, call plan, and follow‑up cadence. Educate providers and practice teams on AbsoluteCare’s CKD program, care model, member engagement approach, referral pathways, and value‑based partnership opportunities. Engage providers in clinically informed conversations related to CKD progression, cardio‑renal‑metabolic risk, medication adherence barriers, care gaps, nephrology access, dialysis transition planning, and avoidable utilization. Leverage familiarity with therapeutic areas commonly addressed in CKD and cardio‑renal‑metabolic care, including SGLT2 inhibitors, RAAS inhibition, mineralocorticoid receptor antagonists, GLP‑1 receptor agonists, diabetes, hypertension, heart failure, and renal risk management. Translate clinical and operational program information into clear, provider‑relevant messaging tailored to nephrology practices, primary care offices, and referral partners. Host provider meetings, lunch‑and‑learns, practice touchpoints, joint operating reviews, and market‑facing education sessions to promote clinical alignment and operational partnership. Serve as the primary relationship contact for assigned practices, ensuring timely follow‑up, issue resolution, and ongoing engagement. Nephrology Practice Targeting & Network Development Identify, prioritize, and engage nephrology practices and CKD‑related provider groups that can support AbsoluteCare’s CKD program growth and member outcomes in Ohio. Develop and maintain a market‑level provider targeting plan, including priority nephrology accounts, referral sources, practice contacts, relationship status, opportunity stage, next steps, and barriers to engagement. Apply territory‑management and account‑planning discipline similar to pharmaceutical or specialty sales models, including pre‑call planning, account research, stakeholder mapping, objection handling, and post‑call documentation. Partner with the Market President, Medical Director, clinical leadership, analytics, and operations teams to evaluate partnership opportunities and align high‑performing providers to AbsoluteCare’s CKD workflows. Support the development of strategic relationships that improve specialty access, care coordination, referral connectivity, and member‑level follow‑through. Monitor provider satisfaction, relationship health, access issues, referral workflow barriers, and operational concerns;escalate and resolve issues in partnership with internal teams. Ensure appropriate geographic and specialty coverage for the CKD population, with particular focus on nephrology access and practice‑level engagement. Performance Management, Data & CRM Discipline Track provider engagement activity, outreach volume, practice contacts, meeting completion, referral activity, relationship status, and follow‑up actions using CRM or designated operational tools. Use internal dashboards, claims/utilization insights, provider performance data, referral patterns, and member‑level information to identify opportunities for provider engagement and practice‑level improvement. Convert data insights into targeted account strategies, provider talking points, and actionable next steps for internal and external stakeholders. Monitor progress against provider relations KPIs, including provider touchpoints, account penetration, meeting completion, referral pathway development, issue resolution, and provider satisfaction. Prepare concise provider account updates, market relationship summaries, and escalation reports for leadership review. Collaborate with clinical, analytics, growth, and market teams to support providers in meeting shared goals related to CKD progression, care coordination, utilization reduction, member engagement, and outcomes. Support joint operating reviews with strategic provider partners, ensuring clear agendas, performance insights, open issues, decisions, and next steps. Operational Support & Internal Coordination Partners with clinical, operations, analytics, marketing, and member engagement teams to ensure provider‑facing materials, referral workflows, talking points, and escalation processes are clear and effective. Maintain accurate provider contact information, account notes, meeting summaries, relationship status, next steps, and issue logs in the CRM or designated tracking platform. Support development of provider‑facing materials that clearly explain AbsoluteCare’s CKD program, member eligibility, referral process, care coordination model, and value proposition. Help identify and resolve barriers affecting provider collaboration, including communication gaps, unclear workflows, member‑level action barriers, or referral process breakdowns. Serve as a connector between external provider partners and internal AbsoluteCare teams to ensure visibility, accountability, and timely follow‑through. Required Minimum Qualifications Bachelor’s degree in healthcare administration, business, life sciences, nursing, public health, or related field; equivalent relevant experience may be considered. 5+ years of experience in one or more of the following: pharmaceutical sales, biotech sales, medical device sales, specialty pharmacy, provider relations, healthcare account management, provider network management, managed care, or value‑based provider engagement. Demonstrated success building and managing provider relationships in a field‑based, territory‑based, or account‑management role. Experience calling on or partnering with physicians, advanced practice providers, practice administrators, office managers, or clinical decision‑makers. Ability to understand and communicate clinical and operational information in a clear, credible, and provider‑relevant manner. Strong account planning, territory management, relationship development, follow‑up, and documentation discipline. Ability to analyze data, identify account‑level opportunities, and translate insights into actionable provider engagement strategies. Proven ability to build rapport, manage objections, resolve issues diplomatically, and sustain long‑term strategic partnerships. High level of initiative, organization, and follow‑through; capable of managing multiple priorities in a fast‑paced, field‑based environment. Proficient with CRM systems, Microsoft Office Suite, Excel, PowerPoint, Outlook, and virtual collaboration tools. Willingness to travel regularly (50%) within the assigned Ohio market Preferred Pharmaceutical, biotech, medical device, or specialty sales experience in nephrology, endocrinology, cardiology, primary care, diabetes, hypertension, heart failure, CKD, or cardio‑renal‑metabolic therapeutic areas. Experience promoting or supporting education around therapies relevant to CKD and cardio‑renal‑metabolic care, such as SGLT2 inhibitors, RAAS inhibition, GLP‑1 receptor agonists, mineralocorticoid receptor antagonists, diabetes medications, cardiovascular therapies, or renal‑protective treatment strategies. Existing relationships with nephrology practices, primary care groups, dialysis organizations, hospitals, or CKD‑related provider partners in Ohio. Understanding CKD, ESRD, dialysis care coordination, specialty referral patterns, transitions of care, medication adherence barriers, and social drivers impacting complex populations. Familiarity with value‑based care, managed Medicaid, Medicare Advantage, risk‑based programs, quality metrics, utilization reduction, and care coordination models. Experience using Salesforce, Tableau, Power BI, or other CRM/reporting platforms to manage account strategy, performance, and follow‑up. Strong presentation skills with ability to conduct provider meetings, practice education sessions, and executive‑level account reviews. Working conditions This job operates in the community and within a professional office environment. This role requires reliable transportation to commute back and forth between inpatient facilities and office; and routinely uses general office equipment. Physical Requirements Ability to communicate clearly and exchange accurate information consistently. Ability to remain stationary for long periods of time. Repetitious movements. Constantly operates the computer, keyboard, copy and fax machine, phone, and other general office equipment. Ability to occasionally move objects up to 20 lbs. Direct reports None. #J-18808-Ljbffr Absolute Care