A company is looking for a Provider Network Account Executive II responsible for managing provider network activities and relationships.
Key Responsibilities:
Develop and manage strategic provider relationships to ensure network adequacy and performance
Conduct provider orientation sessions and resolve provider issues while maintaining compliance with contracts
Monitor provider performance using data and metrics, implementing corrective actions as needed
Qualifications & Education:
Bachelor?s degree required
5 to 10 years of experience as an Account Executive with high-impact provider groups
3 to 5 years of experience in a Provider Services position, including network management
5 to 10 years of experience in the managed care/health insurance industry, with knowledge of provider contracting and regulatory requirements
Medicaid experience is required
