Senior Account Manager driving growth in insurance sector for SDG Group, focusing on data - driven solutions and customer needs.
About the role
- 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
- 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 (advanced skills in pivot tables preferred) and CRM systems
- Bachelor’s degree or relevant experience required
- Willingness to travel by air up to eight days per month
Benefits
- Paid family and parental leave
- Preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support)
- Family and pet care fund
- 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
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