About the role

  • Provider Relations Account Executive managing relationships with IDD service providers. Ensuring network compliance, performance monitoring, and cross-functional collaboration for service delivery.

Responsibilities

  • Develop and maintain strong, collaborative relationships with IDD service providers to ensure network adequacy and quality standards are met.
  • Negotiate contracts and agreements with providers, ensuring compliance with regulatory requirements 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 providers, addressing inquiries, resolving issues, and facilitating communication between providers and internal departments.
  • Collaborate with cross-functional teams including care management, compliance, and finance to support provider network initiatives and improve service delivery.

Requirements

  • Bachelor’s degree in Health Administration, Business, Social Work, or a related field.
  • Minimum of 3 years of experience in provider relations, account management, or a similar role 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 the educational requirement on a year-for-year basis.
  • Master's degree in Health Administration, Business, Social Work, or a related field (preferred).
  • Experience working specifically with IDD provider networks or in managed care environment (preferred).
  • Familiarity with Medicaid and other public health care programs related to IDD services (preferred).
  • Advanced degree or certification in health care management or a related discipline (preferred).
  • Proficiency with provider network management software and data analytics tools (preferred).
  • Demonstrated ability to lead projects and collaborate across multidisciplinary teams (preferred).

Job title

Provider Relations Account Executive – IDD

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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