Corporate Provider Network Account Executive

Role Overview: The Corporate Provider Network Management Account Executive plays a critical role in developing high-performing provider networks that meet state and Centers for Medicare & Medicaid Services (CMS) requirements for new and expanding markets. In this dynamic and fast-paced role, you will identify and recruit key providers, negotiate contracts, and establish trusted partnerships with healthcare professionals and organizations at a rapid pace. You will also contribute to the strategic direction of network development by creating business plans, process flows, and customized solutions that support organizational objectives.Work Arrangement: Remote - Associate can work remotely anywhere in the United States. This position requires 50-60% travel. Responsibilities: Identify, contact, and recruit qualified providers to participate in the Plan network across new and existing service areas. Negotiate contracts with hospitals, physicians, and ancillary providers. Engage with providers at all organizational levels and across diverse system types. Maintain consistent communication and follow-up with prospective providers until the enrollment process is complete. Submit complete and accurate provider applications to the credentialing department to support timely processing. Document and report issues that may impact recruiting efforts. Stay current on all Request for Proposal (RFP) and application requirements relevant to network development. Maintain clear, accurate records of all provider interactions and activities. Support team members by identifying challenges and contributing innovative solutions that enhance processes and expand the use of technology. Foster collaborative working relationships and build trust across teams. Recommend creative operational approaches to reduce backlogs and improve resource utilization. Education & Experience: Bachelor's degree in Business, Healthcare Administration, Healthcare Management, or a related field is required 2 to 3 years of experience in Medicaid, Medicare, Exchange or Commercial Provider Contracting preferred. 5 to 7 years of progressive business experience in provider network management. Strong knowledge of provider network management processes and programs, including Performance Improvement Plans (PIPs), hospital savings initiatives, Accountable Care Organizations (ACOs), and Patient-Centered Medical Homes (PCMH), is strongly preferred. Licensure: Valid driver's license and car insurance required. Skills & Abilities: Strong understanding of customer and market dynamics and key business drivers. Commitment to working collaboratively and strengthening provider networks. Strong negotiation, communication, and active listening skills. Demonstrated leadership and proven ability to achieve results. As a company, we support internal diversity through:Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

Created: 2026-03-04