Sr Network Account Exec

Integrated Home • Sierra Vista, AZ

1d

About The Position

The Sr. Network Account Executive identifies, contracts with, and develops networks of home health, durable medical equipment (DME), and home infusion providers in assigned markets. The role sources potential providers, negotiates rates and contract language, secures required internal approvals, and completes contract documents for signature. It also collects, reviews, and assembles full contract packages, including credentialing documents, before handing them to Provider Data Management.

This business-facing role represents IHCS in the healthcare provider market and promotes the organization as a preferred partner in home care benefits. The position manages strategic market development and provider recruitment, supports negotiations and market implementation, and helps ensure provider networks meet health plan, regulatory, quality, reimbursement, and geographic needs. The candidate must reside in Arizona or Colorado.

Requirements

• Must reside in Arizona or Colorado.
• Demonstrated knowledge of how providers operate and how plan policies may influence or be affected by provider structures.
• Understanding of reimbursement methodologies and how they relate to cost.
• Knowledge of providers in the assigned geographic area and of relationships among health plans, providers, and referral sources in the local market.
• Critical-thinking skills to solve problems using logical and analytical discipline.

Responsibilities

• Manage strategic market development plans by recruiting targeted providers in designated markets and geographic areas.
• Develop and implement negotiation strategies and conduct contract negotiations for Home Health, DME, and IV services in conjunction with the Executive Director, Market Development.
• Lead and participate in development activities in new and existing markets, tracking and reporting recruitment activity, progress, and barriers to a successful, on-time go-live.
• Advance IHCS in the provider market by providing a positive provider experience and negotiating contracts that ensure appropriate network size, composition, and geographic distribution.
• Help ensure provider networks meet health plan and regulatory standards, including quality and reimbursement strategies.
• Manage assigned territories with a business perspective and evaluate provider performance from various perspectives.
• Meet organizational recruitment and strategic initiative goals.
• Collect, review, and assemble complete provider contract packages, including credentialing documents, and submit them to Provider Data Management.
• Ensure provider contractual relationships comply with regulatory requirements and IHCS and Department policies and procedures.
• Work with key departments to support successful implementation of Provider Agreements from initiation through approval, including provider-credentialing applications.
• Maintain accurate, up-to-date information on key contacts, clinical staff, and other key staff at each provider location.
• Perform other assigned tasks as necessary or required.

Benefits

• Medical insurance
• Vision insurance
• Dental insurance
• Short- and long-term insurance
• 6+ days of holiday pay
• 17 days of PTO
• Employer-paid life insurance
• 401(k) with employer contribution
• Wellness program with reward incentives
• Employee recognition and reward programs
• Comprehensive paid training program

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed