Account Executive

Amerihealth Caritas•Baton Rouge, LA

11d•Hybrid

About The Position

Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com.

Requirements

Associate Degree Required or 1 or more years as an Account Executive
One (1) or more years strong communications skills, would need to deliver provider education, training, and onboarding to large groups.

Nice To Haves

Bachelor Degree Preferred

Responsibilities

Supports network development and network management strategies.
Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication.
Assist in SCA Strategy.
Responsible for building, nurturing, and maintaining positive working relationships between Plan and its contracted providers.
Resolve Provider disputes in a timely and compliant manner.
Servicing assigned provider accounts which may include single or multiple practices in single or multiple locations, integrated delivery systems or other provider organizations.
Uses data to develop and implement methods to improve relationship.
Perform site visits as needed.
Maintains a functional working knowledge of provider database and routinely relays information about additions, deletions or corrections.
Identifies and maintains strong partnerships with appropriate internal resources and stakeholders.
General Operational Knowledge related to provider satisfaction, education and communication with a fundamental understanding of operational items such as claims, payment integrity, provider data, credentialing, appeals disputes etc.
Maintains in depth understanding of Plan’s contracts and provider performance and needs, identifying, and conducting relevant and tailored provider orientation sessions, making educational visits and working to resolve provider issues.
Assist with recruiting providers based on identified network adequacy gaps (high complexity).
Support contracting for multiple product lines, including LTSS, Exchange, DSNP could be asked to complete straightforward FFS contracts.
Support of VBC relationships and negotiations where needed.