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Independent Living Systems, LLC · 2 months ago

Provider Relations Account Executive (IDD)

Miami, FL, US

Full-time

Onsite

Mid Level

3+ years exp

Independent Living Systems (ILS) is committed to promoting a higher quality of life for vulnerable populations. The Provider Relations Account Executive (IDD) will foster partnerships with providers delivering services to individuals with intellectual and developmental disabilities, ensuring robust and compliant provider networks to enhance care quality.

Health Care

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

Qualification

Provider relations experienceContract managementIDD servicesHealth Administration degreeData analytics tools proficiencyCollaboration skillsProject leadership

Required

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

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

Company

Independent Living Systems, LLC

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.

Founded in 2001

Miami, Florida, USA

501-1000 employees