Provider Relations Account Executive

Independent Living Systems, LLC • Panama City, FL

1d

About The Position

The Provider Relations Account Executive fosters and maintains partnerships between Independent Living Systems (ILS), its affiliated health plans Florida Community Care and Florida Complete Care, and a diverse network of providers. The role ensures seamless communication, addresses provider concerns, and facilitates contract negotiations to optimize service delivery and network growth. It works collaboratively with internal teams to align provider capabilities with organizational goals, enhance member access and satisfaction, and support the efficiency and quality of healthcare services. The position also contributes to expanding and retaining a high-performing provider network in support of the organization’s mission and strategic objectives.

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 and 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 help ensure network adequacy, 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 assigned providers and link 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 to support provider network initiatives and improve service delivery.
• Ensure high levels of provider satisfaction by providing exceptional service and support.

What This Job Offers

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