Provider Engagement Account Executive
Texas State Library and Archives CommisionNew York, NY, United States8 hours ago
Job type
- Full-time
- Permanent
Job descriptionDrive value-based care model initiatives and align providers with performance-based agreements. Use data analytics to track provider performance; offer actionable insights to improve quality, cost efficiency, and outcomes. Evaluate provider performance and create strategic plans for improvement. Investigate and resolve high-dollar and high-volume claim issues. Educate providers on policies, referral processes, claims submission, EDI, and platform usage. Identify inefficiencies and implement corrective measures to prevent recurring issues. Present Health Benefit Ratio (HBR) analyses and create detailed reports for Joint Operating Committee (JOC) meetings. Develop performance dashboards, reports, and strategic documentation as required. Act as a lead and mentor to external representatives; coach and train field staff as needed. Collaborate cross-functionally across health plan teams and external provider groups. Support network management strategies to improve provider satisfaction and retention. Travel locally 4 days per week. Perform other duties as assigned and comply with all company policies and standards. Bachelor's degree in a related field OR equivalent experience. Master's preferred : MPH, MHA, or MBA. 5+ years experience in : Provider relations or clinical operations Quality improvement or utilization management Medical group / IPA / health plan environment Strong project management experience within healthcare organizations. Ability to influence executive-level leaders and achieve performance targets. Strong understanding of : Value-based performance Cost and utilization drivers Ability to synthesize and communicate complex issues to multiple organizational levels.
Provider Engagement Account Executive
Location : Queens, NY & The Bronx, NY
Work Type : Hybrid (Remote + 30-50% Field Travel)
Job Type : Full-time | Permanent
Industry : Healthcare
Salary Range : $115,000 - $120,000 / year
Position Overview
The Provider Engagement Account Executive develops strategic partnerships between Centene's health plan and contracted provider networks to ensure high-quality care delivery for members. This role focuses on value-based care initiatives, provider performance optimization, and relationship management at both operational and executive levels. The position is hybrid, requiring frequent local travel (4 days / week) to meet with providers across Queens and the Bronx.
Key Responsibilities
Provider Relationship & Engagement
- Conduct regular in-person visits with physicians to provide real-time support and performance discussions.
- Build strong relationships with provider organizations, including C-suite leaders.
- Serve as the primary escalation point for provider concerns, ensuring timely resolution.
Value-Based & Performance Management
Problem Resolution & Operational Support
Data Reporting & Presentations
Leadership & Collaboration
General
Required Qualifications
Managed care
HEDIS & quality measures
Create a job alert for this search
Account Executive • New York, NY, United States
Related jobs)
CRD Careers is a boutique recruitment agency specializing in Sales and HR placements.We connect growth-minded companies with high-impact professionals who drive real results.Whether you're building...Show moreLast updated: 6 hours ago
We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show moreLast updated: 30+ days ago
Enterprise Account Executive - Healthcare.It all started in sunny San Diego, California in 2004 when a visionary engineer, Fred Luddy, saw the potential to transform how we work.Fast forward to tod...Show moreLast updated: 1 day ago
Work setup : Hybrid role with employer-provided remote equipment.Field travel to provider offices 30%-50%.Primary territory : Queens, NY and The Bronx, NY.
Local travel four days per week is required....Show moreLast updated: 22 hours ago
Weichert Insurance Agency is hiring an Account Associate at the corporate location in Morris Plains, NJ.The Account Associate is responsible for providing routine service, customer support, and adm...Show moreLast updated: 30+ days ago
The Patient Account Representative is responsible for collections, account follow up, billing allowance posting for the accounts assigned to them.
Follow-up with payers to ensure timely resolution o...Show moreLast updated: 12 hours ago
Provider Engagement Account Executive.Join a leading national healthcare organization dedicated to improving the health of communities.
Provider Engagement Account Executive.This hybrid role provide...Show moreLast updated: 1 day ago
Are you looking to Optimize your life? Start your exciting path to a rewarding career today!.We are Optimum, a leader in the fast-paced world of connectivity, and we're on the hunt for enthusiastic...Show moreLast updated: 30+ days ago
Assists in monitoring the activities and performance of physician practices to ensure that billing related functions are performed in an efficient manner consistent with department policies and pro...Show moreLast updated: 30+ days ago
Humanscale Account Development Representative.Humanscale is the premier designer and manufacturer of ergonomic products that improve health and comfort at work.
We have a focus on sustainability wit...Show moreLast updated: 2 days ago
Financial Advisor Development Program.Merrill Wealth Management is a leading provider of comprehensive wealth management and investment products and services for individuals, companies, and institu...Show moreLast updated: 1 day ago
Strategic Partnerships Development.You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.As a diversifie...Show moreLast updated: 22 hours ago
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.
The work you do here impacts the lives of millions of people ...Show moreLast updated: 10 days ago
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.
As a diversified, national organization, you'll ha...Show moreLast updated: 30+ days ago
Life Science jobs in the Pharmaceutical, Biotechnology and Medical Device industries.Our parent company, Aequor is a ...Show moreLast updated: 5 days ago
LifeSciencejobsinthePharmaceutical,BiotechnologyandMedicalDeviceindustries.CoreDutiesandResponsibilities : .PresentthevalueoftheHireLifeScience.Show moreLast updated: 16 hours ago
The Provider Engagement Manager (PEM I), is an integral role at Vatica, responsible for overall practice success, including but not limited to provider satisfaction, engagement / adoption, and perfor...Show moreLast updated: 24 days ago
Join Xplor Pay as an Account Executive Outside Sales in Mahwah NJ to make a real impact every day.We say that because we know that every conversation we have every code line we write and every inte...Show moreLast updated: 30+ days ago
- Promoted
- New!
Provider Engagement Account Executive (Queens / Bronx, NY - Hybrid)
CRD Careers (Independent Recruiters)New York, NY, United StatesFull-time
- Promoted
Remote Consumer Feedback Associate (Hiring Immediately)
Earn HausBradley Gardens, New Jersey, USRemote
Full-time +1
- Promoted
Enterprise Account Executive - Healthcare
ServiceNowNew York, NY, USFull-time
- Promoted
- New!
Provider Engagement Account Executive
MDA EdgeBronx, NY, USFull-time
- Promoted
Account Associate
Weichert, RealtorsMorris Plains, New Jersey, USFull-time
- Promoted
- New!
Patient Account Representative
Med-MetrixRed Bank, NJ, USFull-time
- Promoted
Provider Engagement Account Executive
A-Line Staffing SolutionsNew York, NY, USPermanent
- Promoted
Enterprise Sales Account Executive
Altice USABronx, NY, United StatesFull-time
- Promoted
Patient Account Representative
Northwell HealthNew Hyde Park, NY, United StatesFull-time
- Promoted
Account Development Representative
NY StaffingParsippany, NJ, USFull-time
- Promoted
Advisor Development Program Client Advisor
Bank of AmericaRed Bank, NJ, USFull-time
- Promoted
- New!
Provider Engagement Account Executive
American Recruiting & Consulting GroupCorona, NY, USFull-time
- Promoted
2-50 SB Renewal Account Executive - Hybrid in East New Brunswick, NJ
UnitedHealth GroupEast Brunswick, NJ, United StatesFull-time
- Promoted
Provider Engagement Account Manager
CenteneNew York, NY, USFull-time +1
- Promoted
Account Executive
HireLifeScience.comPiscataway, NJ, USFull-time
- Promoted
- New!
Account Executive (Piscataway)
HireLifeScience.comPiscataway, NJ, USPart-time
- Promoted
Provider Engagement Manager
Vatica Health, Inc.city of white plains, NY, United StatesFull-time
- Promoted
Account Executive
XplorMahwah, New Jersey, USAFull-time