Provider Relations & Network Growth Executive

Independent Living Systems, llc; Melbourne (FL); On-site; USD 70,000 - 95,000; Full time

Job summary

Independent Living Systems (ILS) seeks a Provider Relations Account Executive to strengthen partnerships with a diverse provider network in Melbourne, FL. The role focuses on clear communication, contract negotiations, and ensuring network adequacy.

You'll collaborate with care management, compliance, and finance teams to align provider capabilities with organizational goals, drive network growth, and improve member access and satisfaction. This is a full-time professional position.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, or a related field.
• 3 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.
• Relevant experience may substitute for educational requirement on a year-for-year basis.

Responsibilities

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

Skills

Provider relations

Account management

Healthcare industry knowledge

Regulatory compliance

MS Office Suite

Healthcare management software

Education

Bachelor's degree in Healthcare Administration, Business, or a related field

Master's degree in Healthcare Administration, Business, or a related discipline

Tools

Microsoft Office Suite

Healthcare management software

Job description

Independent Living Systems (ILS) seeks a Provider Relations Account Executive to strengthen partnerships with a diverse provider network in Melbourne, FL. The role focuses on clear communication, contract negotiations, and ensuring network adequacy.

You'll collaborate with care management, compliance, and finance teams to align provider capabilities with organizational goals, drive network growth, and improve member access and satisfaction. This is a full-time professional position.