Provider Relations Account Executive (IDD)
On-siteOcala, 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, 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, resolving disputes and maintaining 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. Ensure high levels of provider satisfaction by providing exceptional service and support.
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
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