Provider Relations Account Manager – World Trade Center Health Program

• Serve as the central point of contact for all WTCHP Clinical Centers of Excellence
• Develop and maintain executive-level relationships with CCE leadership
• Act as the internal subject matter expert for CCE-specific workflows, case management models, member coordination processes, operational needs, and TPA provider-network interactions
• Coordinate CCE needs across Benefits Administration, Member Services, Claims, Provider Network Management, and Operations leadership
• Support new operational initiatives, service delivery enhancements, and process improvements affecting CCEs
• Promote collaboration, accountability, customer service excellence, and continuous process improvement across provider engagement activities
• Facilitate regular business reviews covering performance metrics, operational priorities, quality initiatives, compliance requirements, and strategic objectives
• Provide CCE-focused insights to TPA leadership for program operations, member experience, and provider network strategies
• Support delivery of CCE-related data, reporting, and tools aligned with CDC guidelines and WTCHP requirements
• Manage escalations and coordinate internal resolution of member-impacting issues through timely closure
• Ensure provider engagement activities reflect the WTCHP mission supporting 9/11 responders and survivors
• Report to the Provider Network Lead

Requirements

• Bachelor's degree and 5+ years of experience; work experience will be considered in lieu of degree
• Direct, hands-on experience working with WTCHP Clinical Centers of Excellence before the current TPA contract; candidates without this experience will not be considered
• Functional knowledge of all eight CCEs, including their structures, workflows, and operational practices
• Experience supporting or collaborating with federal healthcare programs
• 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 and 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
• Preferred: background in provider network management, healthcare operations, care coordination, or case management programs
• Preferred: experience leading operational improvement initiatives within multi-stakeholder healthcare environments
• Preferred: familiarity with data reporting workflows or program compliance processes within federal health programs
• No security clearance required; MBI (T2) public trust/other requirement
• US citizenship is not required
• Less than 10% travel required

Core Competencies

Demonstrates expertise in managing executive-level relationships and operational coordination within Clinical Centers of Excellence, with a strong focus on compliance, process improvement, and member experience in healthcare settings.

Highest-signal resume keywords

• Clinical Centers Of Excellence Experience
• Operational Coordination Skills
• Executive-Level Relationship Management
• Healthcare Program Compliance
• Data Reporting Workflows

ATS Optimization Keywords

Hard Skills

• Case Management Models
• Member Coordination Processes
• Operational Needs Assessment
• Provider Network Management
• Process Improvement Initiatives
• Performance Metrics Analysis
• Quality Initiatives
• Program Operations Insights
• Healthcare Operations
• Care Coordination

Soft Skills

• Excellent Communication
• Interpersonal Abilities
• Problem-Solving Skills
• Collaboration
• Accountability

Certifications & Qualifications

• MBI (T2) Public Trust

Industry Keywords

• Federal Healthcare Programs
• CDC Program Standards
• Provider Engagement Activities
• Operational Priorities
• Member Experience