Provider Relations Account Executive (IDD)

Independent Living Systems; West Palm Beach (FL); On-site; USD 75,000 - 110,000; Full time

Job summary

Independent Living Systems (ILS) seeks a Provider Relations Account Executive (IDD) to build and maintain robust provider networks for IDD services in West Palm Beach.

You will negotiate contracts, monitor performance, address provider inquiries, and collaborate with care management, compliance, and finance to improve service delivery.

The role emphasizes relationship management, regulatory liaison, and ensuring network adequacy to support high-quality care.

Qualifications

• Bachelor’s degree or equivalent experience required.
• 3+ years provider relations or account management in health care.
• Knowledge of IDD services and regulatory environments.
• Experience with contract management.
• Preferred: IDD networks, Medicaid knowledge, leadership experience.

Responsibilities

• Develop and maintain strong relationships with IDD service providers to ensure network adequacy and quality.
• Facilitate development, negotiation, and execution of provider contracts.
• Monitor provider performance metrics and implement corrective action as needed.
• Serve as primary contact for assigned providers and liaise with departments to address inquiries.
• Maintain accurate provider interaction records and ensure timely resolution.
• Collaborate with care management, compliance, and finance to support network initiatives.
• Ensure high levels of provider satisfaction by delivering exceptional service.

Skills

Provider relations

Contract management

Relationship management

Regulatory compliance

Cross-functional collaboration

Education

Bachelor’s degree in Health Administration, Business, Social Work, or related field

Equivalent experience

Tools

Provider network management software

Data analytics tools

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Provider Relations Account Executive (IDD)

Full Time Professional West Palm Beach, FL, US

20 days ago Requisition ID: 3292

We are seeking a Provider Relations Account Executive (IDD) to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Provider Relations Account Executive (IDD) plays an essential role in fostering and maintaining strong partnerships with providers who deliver services to individuals with intellectual and developmental disabilities (IDD). The Provider Relations Account Executive (IDD) is responsible for ensuring that provider networks are robust, compliant, and aligned with organizational goals to deliver high-quality care. The Provider Relations Account Executive (IDD) involves relationship management, contract negotiation, and ongoing communication to support provider satisfaction and performance. The Provider Relations Account Executive (IDD) will collaborate closely with internal teams to address provider concerns, facilitate training, and implement process improvements. Ultimately, the Provider Relations Account Executive (IDD) drives the success of the provider network, contributing to improved outcomes for individuals served and the overall growth of the health care services organization.

Minimum Qualifications:

• Bachelor’s degree in Health Administration, Business, Social Work, or a related field or equivalent experience.
• Minimum of 3 years of experience in provider relations, account management, or a similar role preferably within the health care services industry.
• Knowledge of intellectual and developmental disabilities (IDD) services and related regulatory environments.
• Experience with Contract Management.
• Relevant experience may substitute for educational requirement on a year-for-year basis.

Preferred Qualifications:

• Bachelor’s degree in Health Administration, Business, Social Work, or a related field.
• Experience working specifically with IDD provider networks or in managed care environment.
• Familiarity with Medicaid and other public health care programs related to IDD services.
• Advanced degree or certification in health care management or a related discipline.
• Proficiency with provider network management software and data analytics tools.
• Demonstrated ability to lead projects and collaborate across multidisciplinary teams.

Responsibilities:

• Develop and maintain strong, collaborative relationships with IDD service providers to ensure network adequacy and quality standards 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 all assigned providers, and as a link to various départements 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 cross-functional teams including care management, compliance, and finance teams to support provider network initiatives and improve service delivery.
• Ensure high levels of provider satisfaction by providing exceptional service and support.