Hybrid Provider Relations Account Executive (IDD) bei Independent Living Systems

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 a critical role in fostering and maintaining strong partnerships with providers who deliver services to individuals with intellectual and developmental disabilities (IDD). This position is responsible for ensuring that provider networks are robust, compliant, and aligned with organizational goals to deliver high-quality care. The role involves strategic relationship management, contract negotiation, and ongoing communication to support provider satisfaction and performance. The Account Executive will collaborate closely with internal teams to address provider concerns, facilitate training, and implement process improvements. Ultimately, this role 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.
• 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.

Preferred Qualifications:

• Master'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.
• 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.