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Full-time
bachelor degree, postgraduate degree
Posted 9d ago
~40 hrs/week
Responsibilities
The Provider Relations Account Executive fosters and maintains strong partnerships with healthcare providers to ensure network adequacy and quality. They facilitate contract negotiations, monitor performance metrics, and serve as the primary point of contact to resolve inquiries and disputes.
Requirements
Candidates must have a bachelor's degree in Healthcare Administration, Business, or a related field, with at least 3 years of experience in provider relations or account management. Strong knowledge of healthcare provider networks, contract negotiation, and regulatory compliance is required.
Full job description
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 an essential 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 Provider Relations Account Executive will work collaboratively with internal teams to align provider capabilities with organizational goals, enhancing member access and satisfaction. By proactively managing provider relationships, the Provider Relations Account Executive contributes to the overall efficiency and quality of healthcare services offered. Ultimately, the Provider Relations Account Executive 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.
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 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 strong collaborative relationships with providers through high-touch communication to ensure network adequacy and quality and other provider performance goals are met.
Facilitate the development, negotiation, and execution of provider contracts, ensuring terms meet regulatory standards and organizational policies.
Monitor provider performance metrics and work with providers to implement corrective action plans when necessary.
Serve as the primary point of contact for all assigned providers, and as a link to various departments to address inquiries, resolve disputes, and maintain positive partnerships..
Maintain accurate records of provider interactions and follow up on outstanding issues to ensure timely resolution.
Collaborate with cross-functional teams including care management, compliance, and finance to support provider network initiatives and improve service delivery. opportunities for growth and expansion within existing provider accounts.
Ensure high levels of provider satisfaction by providing exceptional service and support.
We are a compassionate team committed to improving the quality of life for the most vulnerable populations.
Industry
Hospitals and Health Care
Company size
501-1,000 employees
Founded
2001
Headquarters
Miami, FL
LinkedIn followers
10,056
Independent Living Systems, LLC, offers a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid and Dual-Eligible Market.
Independent Living Systems has been an industry leader in managing home and community-based programs for over 16 years. Leveraging ILS’ award winning technology platform, ILS provides assistance beyond the clinical realm at every stage of care from hospitalization to the treatment of chronic illnesses to personalized care management including nutritional support.
As one of the country’s leading providers of Nutritional Support Services and medically tailored meals, ILS provides nutrition counseling and home delivered meals for individuals transitioning from acute settings to the home as well as for those combatting the effects of one or more chronic diseases.
In partnership with health plans, providers, hospitals, and pharmaceutical and medical device companies, ILS provides solutions aimed at improving health outcomes while rebalancing costs.
ILS’ suite of products and services include:
MLTSS - Managed Long-Term Services Supports
Suite of solutions including assessments, care management, and coordination of home and community-based services, care planning, and back-office support
CCM - Comprehensive Care Management
A streamlined solution for ongoing care management and care optimization targeted towards special needs populations and special needs plans
Meals and Nutrition
One of the nation’s largest nutritional providers delivering consistent, high-quality therapeutic meals to elderly and at-risk populations
TPA – Third Party Administration
A fully integrated business and technology offering to support all administrative and financial reporting requirements of health plans and risk bearing entities
MSO – Management Services Organization
Population and provider-based interventions to address utilization and monitor unit costs of services
For more information please contact us via email at [email protected].
Offices: 5200 Blue Lagoon Drive, Suite 500, Miami, FL 33126, US · 4601 NW 77th Ave, Miami, Florida, US · 810 7th Ave, New York, NY 10019, US · 2311 W 22nd St, Oak Brook, Illinois 60523, US · 550 N Brand Blvd, Glendale, California 91203, US
Health and Long Term Care Management Services CompanyHealth CareLong Term CareNutritionCare TransitionsThird Party AdministrativeDual EligiblesMedicareMedicaidInsurance
Based on 2986 listings with disclosed salaries, most healthcare jobs in Florida pay between $58k–$149k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in Florida right now?
There are currently 33,476 open healthcare positions in Florida listed on Clera. New openings are added daily as companies post roles.
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