Provider Network Account Executive is responsible for developing and maintaining strong relationships with healthcare providers to improve provider performance, engagement, and satisfaction. This role serves as a key liaison between the health plan and its contracted provider network, supporting providers participating in fee-for-service programs including primary care physicians, OB/GYNs, high-volume specialists, Federally Qualified Health Centers, and other provider organizations. The incumbent partners with internal stakeholders to support network development initiatives, provider education, contract management, operational issue resolution, and provider performance improvement. Responsibilities include supporting network development and management strategies; assisting leadership with provider satisfaction, education, engagement, and communication; supporting the Single Case Agreement strategy; building and maintaining relationships with contracted providers; resolving provider concerns in a timely, professional, and compliant manner; managing an assigned portfolio of provider accounts; analyzing provider performance data and implementing strategies to strengthen relationships and outcomes; conducting provider visits as needed; maintaining provider databases and communicating updates related to provider additions, terminations, and demographic changes; collaborating with internal teams including Claims, Provider Data Management, Credentialing, Payment Integrity, Contracting, Appeals, and other operational groups; developing a strong understanding of provider contracts a
Provider Network Account Executive is responsible for developing and maintaining strong relationships with healthcare providers to improve provider performance, engagement, and satisfaction. This role serves as a key liaison between the health plan and its contracted provider network, supporting providers participating in fee-for-service programs including primary care physicians, OB/GYNs, high-volume specialists, Federally Qualified Health Centers, and other provider organizations. The incumbent partners with internal stakeholders to support network development initiatives, provider education, contract management, operational issue resolution, and provider performance improvement. Responsibilities include supporting network development and management strategies; assisting leadership with provider satisfaction, education, engagement, and communication; supporting the Single Case Agreement strategy; building and maintaining relationships with contracted providers; resolving provider concerns in a timely, professional, and compliant manner; managing an assigned portfolio of provider accounts; analyzing provider performance data and implementing strategies to strengthen relationships and outcomes; conducting provider visits as needed; maintaining provider databases and communicating updates related to provider additions, terminations, and demographic changes; collaborating with internal teams including Claims, Provider Data Management, Credentialing, Payment Integrity, Contracting, Appeals, and other operational groups; developing a strong understanding of provider contracts a
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