Provider Relations Account Executive

Independent Living Systems • Tallahassee, FL

19h

About The Position

Independent Living Systems (ILS), along with its affiliated health plans Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for vulnerable populations. The Provider Relations Account Executive fosters and maintains strong partnerships between the healthcare organization and its diverse provider network. The role ensures seamless communication, addresses provider concerns, and facilitates contract negotiations to optimize service delivery and network growth. Working collaboratively with internal teams, the Account Executive aligns provider capabilities with organizational goals to enhance member access and satisfaction. By proactively managing provider relationships, the role supports efficient, high-quality healthcare services and drives 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 educational 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 other provider performance goals.
• 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 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 high provider satisfaction by providing exceptional service and support.

What This Job Offers

• Job Type: Full-time