Apply on Employer Site

AmeriHealth Caritas · 5 days ago

Corporate Provider Network Account Executive

United States

Full-time

Hybrid

Mid, Senior Level

5+ years exp

AmeriHealth Caritas is focused on developing high-performing provider networks that comply with state and CMS requirements. The Corporate Provider Network Management Account Executive will identify and recruit providers, negotiate contracts, and contribute to strategic network development initiatives.

Health CareInformation Technology

H1B Sponsor Likely

Responsibilities

Identify, contact, and recruit qualified providers to participate in the Plan network across new and existing service areas

Negotiate contracts with hospitals, physicians, and ancillary providers

Engage with providers at all organizational levels and across diverse system types

Maintain consistent communication and follow-up with prospective providers until the enrollment process is complete

Submit complete and accurate provider applications to the credentialing department to support timely processing

Document and report issues that may impact recruiting efforts

Stay current on all Request for Proposal (RFP) and application requirements relevant to network development

Maintain clear, accurate records of all provider interactions and activities

Support team members by identifying challenges and contributing innovative solutions that enhance processes and expand the use of technology

Foster collaborative working relationships and build trust across teams

Recommend creative operational approaches to reduce backlogs and improve resource utilization

Qualification

Provider network managementBusiness planningNegotiationMedicaid contractingMedicare contractingCommunication skillsActive listeningLeadership

Required

Bachelor's degree in Business, Healthcare Administration, Healthcare Management, or a related field is required

Valid driver's license and car insurance required

Strong understanding of customer and market dynamics and key business drivers

Commitment to working collaboratively and strengthening provider networks

Strong negotiation, communication, and active listening skills

Demonstrated leadership and proven ability to achieve results

Preferred

2 to 3 years of experience in Medicaid or Medicare provider contracting preferred

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

Strong knowledge of provider network management processes and programs, including Performance Improvement Plans (PIPs), hospital savings initiatives, Accountable Care Organizations (ACOs), and Patient-Centered Medical Homes (PCMH), is strongly preferred

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)