Demo

Provider Relations Account Executive I - Must reside in Shreveport, Louisiana

AmeriHealth Caritas
Shreveport, LA Full Time
POSTED ON 3/6/2025
AVAILABLE BEFORE 6/5/2025

Responsibilities

  • Those most complex have a higher number of multiple practice locations, multi-specialty practices, multiple providers, and an extensive health system.
  • Those that impact a total member population of a minimum of 5,000 or more.
  • Each plan, according to its business environment, determines the appropriate minimum number of member population impacts for the Provider Services AE I level.
  • Develop, implement, and manage programs and projects that support / impact high-dollar and member-provider groups.
  • Responsible for participating in or independently developing and implementing Provider Network education programs and materials (internal and provider targeted) and assigned to train, mentor, and support new AEs.

Education & Qualifications :

  • Bachelor’s Degree or equivalent experience required.
  • High School diploma required.
  • 1 to 3 years experience in a Provider Services position working with providers.
  • 3 to 5 years experience in the managed care or health insurance industry with demonstrated strengths in the knowledge of Plan policies and procedures related to provider complaint resolution, provider credentialing, provider billing and payment, provider incentive programs, and other essential State and Federal regulatory requirements related to providers, claim adjudication systems, provider file database requirements, and relevant software applications
  • Working independently and managing complex projects and programs as an independent owner and team leader, training and mentoring skills, and interacting at an executive level internally and externally.
  • Substantive Account Executive experience with high impact, high dollar, extremely visible, and critical provider groups.
  • Preferred Knowledge of Practice Transformation and Value-Based Programs.
  • This position requires travel within the following parishes in Louisiana Caddo, Bossier, Webster, Claiborne, Bienville, Jackson, DeSoto, Red River, and Sabine.
  • Candidate must reside in Shreveport, Louisiana area.
  • A valid driver’s license and automobile insurance are required.
  • Diversity, Equity, and Inclusion

    At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

    We keep our associates happy so they can focus on keeping our members healthy.

    Our Comprehensive Benefits Package

    Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more.

    Generous paid time off and paid volunteer time off.

    Employer-matched 401(k) and additional non-elective contributions, starting on day one.

    Medical, dental, and vision plans — with coverage starting on day one.

    Employee assistance programs, fitness reimbursements, nutrition counseling, and more.

    Employer-paid life insurance, with opportunities to purchase additional coverage.

    Employer-paid short-term disability coverage and long-term disability coverage.

    Tuition assistance, including reduced tuition at certain schools.

    Financial assistance with adoption, including paid time off.

    Flexible spending and health savings accounts to pay for qualified expenses.

    Discount programs on entertainment, travel, and more.

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