Provider Relations Account Executive

Provider Relations Account Executive

The Provider Relations Account Executive plays an essential role in fostering and maintaining strong partnerships between our healthcare organization and a diverse network of providers. The Provider Relations Account Executive position is responsible for ensuring seamless communication, addressing provider concerns, and facilitating contract negotiations to optimize service delivery and network growth. The Provider Relations Account Executive will work collaboratively with internal teams to align provider capabilities with organizational goals, enhancing member access and satisfaction. By proactively managing provider relationships, the Provider Relations Account Executive contributes to the overall efficiency and quality of healthcare services offered. Ultimately, the Provider Relations Account Executive drives the expansion and retention of a high-performing provider network that supports the organization's mission and strategic objectives.

Develop and maintain strong collaborative relationships with providers through high-touch communication to ensure network adequacy and quality and other provider performance goals are met. Facilitate the development, negotiation, and execution of provider contracts, ensuring terms meet regulatory standards 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 all assigned providers, and as a link to various departments to address inquiries, resolve disputes, and maintain positive partnerships. Maintain accurate records of provider interactions and follow up on outstanding issues to ensure timely resolution. Collaborate with cross-functional teams including care management, compliance, and finance to support provider network initiatives and improve service delivery. Ensure high levels of provider satisfaction by providing exceptional service and support.