Provider Account Manager overseeing network operations and contracts for Progyny's fertility services. Collaborating with stakeholders and leading negotiations to enhance provider partnerships.
Responsibilities
Develop trusted partnerships with business managers, clinical leaders, and key decision-makers
Consistently present fertility outcome data to assigned accounts, ensuring physicians are informed about metrics and expectations
Collaborate across departments—including sales, client account management, business intelligence, member services, marketing/PR, and finance—to meet the diverse needs of stakeholders
Identify, assess, and implement new processes to improve efficiency in timely filing and claims payments
Work closely with employer services and marketing teams to achieve network management goals and provide customer insights for service enhancements
Represent Progyny as an expert at conferences, physician offices, and with employer clients
Deliver consistent educational updates regarding Progyny Rx, authorizations and claims, provider portal, and general business operations
Perform administrative tasks such as maintaining provider accounts, credentialing, and managing special projects
Lead negotiations of financial and operational contract terms with IVF and Reproductive Urology clinics, prioritizing unit cost management, client value, and clinical success
Help develop innovative contracting strategies and network discounts, including pay-for-performance models
Maintain and revise provider contracts in response to client benefit and programmatic changes
Build and expand senior-level relationships with fertility clinics in your region
Develop, negotiate, and finalize service agreements and reimbursement schedules, leveraging a thorough understanding of Progyny’s fertility services
Strategically analyze business models, budget cycles, and key decision-makers to maximize partnership opportunities
Requirements
4+ years of managed care contracting, negotiation, and/or sales experience in the fertility sector or women’s health
Knowledge of reproductive endocrinology and infertility (REI) and/or reproductive urology (RU)
Background may include specialty pharmacy management (fertility), fertility nursing, clinic management, health plan administration, or fertility clinic business consulting
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