Provider Relations Account Executive

Independent Living Systems • Clearwater, FL

9h

About The Position

The Provider Relations Account Executive fosters and maintains partnerships between the healthcare organization and its provider network. The role ensures effective communication, addresses provider concerns, and facilitates contract negotiations to optimize service delivery and network growth. Working with internal teams, the Account Executive aligns provider capabilities with organizational goals to enhance member access and satisfaction. Through proactive provider relationship management, the role supports efficient, high-quality healthcare services and the expansion and retention of a high-performing provider network.

Requirements

• Bachelor’s degree in Healthcare Administration, Business, or a related field; relevant experience may substitute for the education requirement on a year-for-year basis.
• Three 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.
• Experience with healthcare management software.

Nice To Haves

• 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 managing complex provider networks and multi-stakeholder projects.
• Certification in healthcare management or provider relations, such as Certified Provider Relations Specialist.

Responsibilities

• Develop and maintain collaborative provider relationships through high-touch communication to support network adequacy, quality, and provider performance goals.
• Facilitate the development, negotiation, and execution of provider contracts, ensuring terms comply with regulatory standards and organizational policies.
• Monitor provider performance metrics and work with providers to implement corrective action plans when needed.
• Serve as the primary point of contact for assigned providers and connect them with internal 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 care management, compliance, finance, and other cross-functional teams on provider network initiatives and service delivery improvements.
• Identify opportunities for growth and expansion within existing provider accounts.
• Promote provider satisfaction by providing exceptional service and support.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level