Job Description
Note:
The job is a remote job and is open to candidates in USA. Progyny, Inc. is a global leader in women’s health and family building solutions, and they are seeking a Provider Account Manager to manage network operations and contracts for key accounts nationwide. The role focuses on fostering relationships with providers, collaborating across departments, and ensuring efficient processes in the fertility sector. 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 bolthires 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 Skills • 4+ years of managed care contracting, negotiation, and/or sales experience in the fertility sector or women's health, with 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 • Solution-driven mindset—proactively addressing challenges • Highly organized, detail-oriented, and results-focused • Skilled at simplifying complex systems and delivering clear communications • Exceptional communication, interpersonal, leadership, coaching, and conflict resolution abilities • Outstanding presentation skills; comfortable speaking to large groups • Ability to manage multiple projects and deadlines simultaneously • Self-motivated with a commitment to producing thorough, client-ready work • Flexible and adaptable in a dynamic, fast-paced environment; ready to take on new and varied responsibilities • Proficient in MS Office and CRM systems • Bachelor's degree or relevant experience required • Willingness to travel by air up to eight days per month • Candidates must be based in the United States • Candidates must be authorized to work in United States without the need for sponsorship, now or in the future • Advanced skills in pivot tables preferred Benefits • Paid family and parental leave • Preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support) • Family and pet care fund • Parents’ Employee Affiliation Group • Menopause and midlife care • Health, dental, vision and life insurance options for employees and family • Free in-person, virtual and text-based mental health and wellness support • Paid time off, including vacation, sick leave, personal days and summer flex time • Company equity • Bonus program • 401(k) plan with company match • Access to on-demand legal and financial advice • Learning and development programs to help you grow professionally and a mentorship program • Company social events to include annual volunteer day and donation matching • Flex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office Company Overview • Progyny (Nasdaq: PGNY) is a transformative fertility, family building and women’s health benefits solution, trusted by the nation’s leading employers, health plans and benefit purchasers.
It was founded in 2008, and is headquartered in New York, New York, USA, with a workforce of 501-1000 employees. Its website is Apply tot his job