Manager, Provider Relations (IDD)

Independent Living Systems, LLC

Miami, FL

JOB DETAILS
SKILLS
Alliance/Partner Management, Communication Skills, Continuous Improvement, Contract Requirements, Data Analysis, Developmental Disabilities, Disability Accommodations, Documentation, Government Funding, Health Plan, Healthcare, Healthcare Administration, Healthcare Providers, Leadership, Medicaid, Problem Solving Skills, Process Improvement, Provider Relations, Public Health, Quality Management, Quality of Life, Regulatory Compliance, Regulatory Requirements, Retention Programs, Service Delivery, Social Work, Team Lead/Manager, Time Management, Training/Teaching, Trend Analysis
LOCATION
Miami, FL
POSTED
Today

divh2Manager, Provider Relations (IDD)/h2pWe are seeking a Manager, Provider Relations (IDD) to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations./ppThe Manager, Provider Relations (IDD) plays a critical role in fostering and maintaining strong partnerships with providers who deliver services to individuals with intellectual and developmental disabilities (IDD). This position is responsible for ensuring that provider networks are robust, compliant, and aligned with organizational goals to deliver high-quality care. The manager will lead efforts to resolve provider issues, facilitate communication, and support provider development initiatives to enhance service delivery. By collaborating closely with internal teams and external stakeholders, this role ensures that providers meet regulatory requirements and contractual obligations. Ultimately, the Manager, Provider Relations (IDD) drives continuous improvement in provider engagement and satisfaction, contributing to better outcomes for individuals served within the health care system./ppMinimum Qualifications:/pulliBachelors degree in Health Care Administration, Social Work, Public Health, or a related field./liliMinimum of 5 years of experience in provider relations, network management, or a related role within the health care or IDD services sector./liliStrong knowledge of intellectual and developmental disabilities service delivery systems and regulatory requirements./liliRelevant experience may substitute education requirement on a year-for-year basis./li/ulpPreferred Qualifications:/pulliMasters degree in a relevant field such as Health Administration, Social Work, or Public Health./liliExperience working with Medicaid or other government-funded health care programs./liliFamiliarity with quality improvement methodologies and data analysis tools./liliProven leadership experience managing teams or projects within a health care setting./li/ulpResponsibilities:/pulliDevelop and maintain strong relationships with IDD service providers to ensure effective communication and collaboration./liliMonitor provider performance and compliance with contractual and regulatory standards, addressing any issues proactively./liliLead provider network development initiatives, including recruitment, training, and retention strategies./liliServe as the primary point of contact for provider inquiries, concerns, and dispute resolution./liliCollaborate with internal departments such as care management, to align provider services with organizational objectives./liliAnalyze provider data and feedback to identify trends and opportunities for improvement./liliCoordinate provider meetings, training sessions, and informational events to support ongoing education and engagement./liliEnsure timely and accurate documentation of provider interactions and activities in relevant systems./li/ul/div

About the Company

I

Independent Living Systems, LLC