Provider Network Account Executive

Job Summary

A company is looking for a Provider Network Account Executive I.

Key Responsibilities

• Build and maintain relationships with contracted providers, ensuring their performance and needs are met
• Monitor provider network access and manage compliance with state and federal mandates
• Evaluate provider performance using Plan reports and metrics, implementing improvement plans as necessary

Required Qualifications

• A bachelor's degree or equivalent experience is required
• 1 to 3 years of experience in a Provider Services position
• 3 to 5 years of experience in the managed care/health insurance industry
• Experience with Medicare, Medicaid, or ACA Exchange is preferred
• Demonstrated ability to establish influential relationships and facilitate training