Strategic Account Manager – Provider Networks

This is a fully remote position, open to applicants in California.

📋 Description

• Build and oversee strategic partnerships with IPAs, medical groups, MSOs, hospitals, and other delegated provider networks and risk-bearing organizations within the designated territory.

• Discover and implement opportunities to enhance access to the Company’s specialty pharmacy and infusion services through collaborations with providers and network expansion.

• Act as the main point of contact for provider leadership, administrators, and key decision-makers, influencing referral pathways and the adoption of programs.

• Collaborate with Payor Relations and internal leadership to aid and shape provider contracting strategies, engaging in discussions with IPAs and medical groups to enhance access and alignment.

• Ensure effective execution of provider agreements, promoting adoption and ongoing performance in line with partnership goals.

• Inform provider leadership and care teams about the Company’s services, patient support programs, and clinical capabilities.

• Work alongside field sales, clinical, and operational teams to guarantee coordinated outreach, account engagement, and patient accessibility.

• Track referral trends, market dynamics, and competitive actions within IPA and medical group networks, and implement plans to boost performance.

• Relay market insights, provider feedback, and growth opportunities to leadership to guide strategic planning.

• Participate in regional provider meetings, healthcare forums, and professional organizations to enhance market presence and relationships.

• Develop a strategic territory plan centered on high-value provider networks and growth opportunities.

• Promote measurable referral growth and utilization through targeted pull-through strategies within both contracted and non-contracted provider networks.

• Generate new accounts and nurture existing ones by organizing and planning daily work schedules to engage with current or potential referral sources or customers.

• Identify opportunities to reconnect with inactive referral sources and broaden partnerships with new provider networks.

• Assist internal initiatives aimed at boosting provider engagement, access, and operational efficiency.

• Keep precise records of provider interactions, contracting activities, and performance metrics in the Company’s CRM or field automation system.

• Provide regular updates on partnership activities, referral growth, and territory performance.

• Maintain a comprehensive understanding of specialty pharmacy services, infusion therapies, and the evolving healthcare market landscape.

• Evaluate market conditions, referral trends, and business performance to pinpoint growth opportunities and refine strategy.

• Serve as an internal resource to assist cross-functional teams in grasping healthcare payment models and provider network structures.

⛳️ Requirements

• Bachelor's degree in business, Healthcare Administration, Marketing, or a related field, or equivalent industry experience.

• A minimum of 5+ years of experience in the healthcare industry in provider relations, healthcare sales, network development, or market access roles.

• Strong grasp of healthcare delivery models, including the Knox-Keene Health Care Service Plan Act of 1975.

• Familiarity with risk-based payment models (e.g., shared savings, downside risk) and provider structures such as IPAs, ACOs, MSOs, and physician-hospital organizations.

• Working knowledge of key regulatory and operational concepts including delegation, Restricted Knox-Keene (RKK), and Division of Financial Responsibility (DOFR).

• Experience with IPAs, medical groups, MSOs, or delegated provider networks is strongly preferred.

• Experience in supporting or engaging in provider contracting, network development, or partnership agreements.

• Experience in specialty pharmacy, infusion services, or a closely related healthcare delivery model is strongly preferred.

🏝️ Benefits

• Competitive Wages

• 401(k) with a Match

• Referral Bonus

• Paid Time Off

• Great Company Culture

• Paid Parental Leave Options

• Affordable Medical, Dental, & Vision Insurance Plans

• Company Paid Disability & Basic Life Insurance

• HSA & FSA (including dependent care) Options

• Education Assistance Program