Louisiana Provider Network Executive

Job Summary

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

Key Responsibilities

• Manage contracts and provider performance, conducting orientations and resolving issues
• Ensure compliance with access to services and assist in implementing corrective actions
• Identify and solicit qualified providers to join the Plan, maintaining financial integrity and contract compliance

Required Qualifications

• High school diploma/GED required
• 1 to 3 years of experience working with providers
• 3 to 5 years in managed care or health insurance
• Experience with Medicare, Medicaid, or Exchange, and contract negotiations
• Familiarity with behavioral health and provider auditing