We are seeking a Provider Relations Account Executive to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
About the Role:
The Provider Relations Account Executive plays a pivotal role in fostering and maintaining strong partnerships between our healthcare organization and a diverse network of providers. The Provider Relations Account Executive position is responsible for ensuring seamless communication, addressing provider concerns, and facilitating contract negotiations to optimize service delivery and network growth. The successful candidate will work collaboratively with internal teams to align provider capabilities with organizational goals, enhancing member access and satisfaction. By proactively managing provider relationships, the Account Executive contributes to the overall efficiency and quality of healthcare services offered. Ultimately, this role drives the expansion and retention of a high-performing provider network that supports the organization's mission and strategic objectives.
Minimum Qualifications:
- Bachelor’s degree in Healthcare Administration, Business, or a related field.
- Minimum of 3 years of experience in provider relations, account management, or a similar role within the healthcare industry.
- Strong knowledge of healthcare provider networks, contract negotiation, and regulatory compliance.
- Proficiency in Microsoft Office Suite and experience with healthcare management software.
- Relevant experience may substitute for the educational requirement on a year-for-year basis.
Preferred Qualifications:
- Master’s degree in Healthcare Administration, Business, or a related discipline.
- Experience working with managed care organizations or health insurance providers.
- Familiarity with healthcare data analytics and performance measurement tools.
- Demonstrated success in managing complex provider networks and multi-stakeholder projects.
- Certification in healthcare management or provider relations (e.g., Certified Provider Relations Specialist).
Responsibilities:
- Develop and maintain relationships with practitioners through high-touch communication
- Identify opportunities for growth and expansion within existing accounts
- Collaborate with internal teams to develop and execute strategic plans that align with business objectives
- Meet and exceed performance targets through effective account management and sales strategies
- Ensure high levels of provider satisfaction by providing exceptional service and support