Provider Relations Account Executive (IDD)
On-siteFort Myers, Florida, United States
Job Summary
Develop and maintain strong, collaborative relationships with IDD service providers to ensure network adequacy and quality standards are met. Facilitate the development, negotiation, and execution of provider contracts while monitoring performance metrics to implement corrective action plans. Serve as the primary point of contact for assigned providers, resolving disputes and collaborating with cross-functional teams to improve service delivery. Maintain accurate records of interactions and follow up on outstanding issues to ensure timely resolution. This role supports Florida Community Care and Florida Complete Care in maximizing independence for vulnerable populations through robust, compliant provider networks.
Required Qualifications
- Bachelor's degree in Health Administration, Business, Social Work, or a related field
- Minimum of 3 years of experience in provider relations, account management, or a similar role preferably within the health care services industry
- Knowledge of intellectual and developmental disabilities (IDD) services and related regulatory environments
- Experience with Contract Management
Desired Qualifications
- Bachelor's degree in Health Administration, Business, Social Work, or a related field
- Experience working specifically with IDD provider networks or in managed care environment
- Familiarity with Medicaid and other public health care programs related to IDD services
- Advanced degree or certification in health care management or a related discipline
- Proficiency with provider network management software and data analytics tools
- Demonstrated ability to lead projects and collaborate across multidisciplinary teams
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.