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AmeriHealth Caritas · 3 months ago

Corporate Provider Network Account Executive

United States

Full-time

Hybrid

Mid, Senior Level

5+ years exp

AmeriHealth Caritas is a mission-driven organization focused on delivering comprehensive healthcare solutions. They are seeking a Corporate Provider Network Account Executive to build strong provider networks, negotiate contracts, and develop strategies that align with organizational goals.

Health CareInformation Technology

H1B Sponsor Likely

Responsibilities

Identifies, contacts, and solicits qualified providers to participate in the Plan network in new and existing service areas

Negotiates hospital, physician, and other ancillary contracts

Works with all levels of providers and types of provider systems

Communicates and follows up with prospective providers as assigned, until such provider applies to plan participation

Submits accurate and complete provider application packages to the credentialing department, assuring timely credentialing

Documents issues impacting recruiting efforts

Remains current in all aspects of the RFP or application requirements

Maintains accurate, concise records of all provider contacts

Support team members in identifying and creatively resolving problems for improved processes and expanded use of technology

Support collaborative team efforts that produce effective working relationships and trust

Regularly suggests innovative means of structuring operations that help alleviate backlogs and ensure the optimal utilization of resources

Qualification

Provider network managementNegotiation skillsMedicaid experienceMedicare experienceCustomer understandingListening skillsLeadership skillsTeam collaboration

Required

Bachelor's degree in business, Healthcare Administration, Healthcare Management, or other health-related disciplines

Valid driver's license and current auto insurance required

Experience working across an enterprise and working in complex organizations

Strong understanding of customer and market dynamics and requirements

Ability to travel extensively to various locations for the development of provider networks

Willingness to work in a national team of professionals

Strong negotiation and listening skills

Proven leadership and ability to drive results

Preferred

Master's Degree preferred

2 to 3 years of previous experience in Medicaid or Medicare Provider Contracting preferred

5 to 7 years of progressive business experience in provider network management

In-depth knowledge of provider network management processes and programs, e.g., performance improvement plans (PIP), hospital savings programs, accountable care organizations, and patient-centered medical homes, is strongly preferred

Benefits

Flexible work solutions include remote options

Hybrid work schedules

Competitive pay

Paid time off, including holidays and volunteer events

Health insurance coverage for you and your dependents on Day 1

401(k)

Tuition reimbursement

And more

Company

AmeriHealth Caritas

Glassdoor3.4

AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.

Founded in 1982

Philadelphia, Pennsylvania, USA

10001+ employees

http://www.amerihealthcaritas.com

H1B Sponsorship

AmeriHealth Caritas has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (18)

2024 (17)

2023 (12)

2022 (14)

2021 (4)

2020 (11)