We are seeking a Provider Relations Account Executive 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 plays a pivotal role in fostering and maintaining strong partnerships between our healthcare organization and a diverse network of providers. The Provider Relations Account Executive position is responsible for ensuring seamless communication, addressing provider concerns, and facilitating contract negotiations to optimize service delivery and network growth. The successful candidate will work collaboratively with internal teams to align provider capabilities with organizational goals, enhancing member access and satisfaction. By proactively managing provider relationships, the Account Executive contributes to the overall efficiency and quality of healthcare services offered. Ultimately, this role drives the expansion and retention of a high-performing provider network that supports the organization's mission and strategic objectives.
Minimum Qualifications:
- Bachelor’s degree in Healthcare Administration, Business, or a related field.
- Minimum of 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 the educational requirement on a year-for-year basis.
Preferred Qualifications:
- 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 in managing complex provider networks and multi-stakeholder projects.
- Certification in healthcare management or provider relations (e.g., Certified Provider Relations Specialist).
Responsibilities:
- Develop and maintain relationships with practitioners through high-touch communication
- Identify opportunities for growth and expansion within existing accounts
- Collaborate with internal teams to develop and execute strategic plans that align with business objectives
- Meet and exceed performance targets through effective account management and sales strategies
- Ensure high levels of provider satisfaction by providing exceptional service and support
Skills Required
- Bachelor's degree in Healthcare Administration, Business, or related field (relevant experience may substitute year-for-year).
- Minimum of 3 years' experience in provider relations, account management, or 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.
- Master's degree in Healthcare Administration, Business, or 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 (e.g., Certified Provider Relations Specialist).
What We Do
Independent Living Systems, LLC, offers a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid and Dual-Eligible Market. Independent Living Systems has been an industry leader in managing home and community-based programs for over 16 years. Leveraging ILS’ award winning technology platform, ILS provides assistance beyond the clinical realm at every stage of care from hospitalization to the treatment of chronic illnesses to personalized care management including nutritional support. As one of the country’s leading providers of Nutritional Support Services and medically tailored meals, ILS provides nutrition counseling and home delivered meals for individuals transitioning from acute settings to the home as well as for those combatting the effects of one or more chronic diseases. In partnership with health plans, providers, hospitals, and pharmaceutical and medical device companies, ILS provides solutions aimed at improving health outcomes while rebalancing costs. ILS’ suite of products and services include: MLTSS - Managed Long-Term Services Supports Suite of solutions including assessments, care management, and coordination of home and community-based services, care planning, and back-office support CCM - Comprehensive Care Management A streamlined solution for ongoing care management and care optimization targeted towards special needs populations and special needs plans Meals and Nutrition One of the nation’s largest nutritional providers delivering consistent, high-quality therapeutic meals to elderly and at-risk populations TPA – Third Party Administration A fully integrated business and technology offering to support all administrative and financial reporting requirements of health plans and risk bearing entities MSO – Management Services Organization Population and provider-based interventions to address utilization and monitor unit costs of services For more information please contact us via email at [email protected].
