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Provider Engagement Account Executive

Provider Engagement Account Executive

A-Line Staffing SolutionsQueens, NY, United States
3 days ago
Job type
  • Permanent
Job description

Provider Engagement Account Executive

Location : Queens, NY / The Bronx, NY | Hybrid

Salary : $115,000 – $120,000 / yr + potential 8% annual bonus

Position Type : Permanent / Direct Hire

About the Role :

Join a leading national healthcare organization dedicated to improving the health of communities. We are seeking a Provider Engagement Account Executive to develop and maintain strategic partnerships with contracted provider networks. This hybrid role provides equipment for remote work while requiring 30–50% travel into the field to meet providers face-to-face, supporting improved patient outcomes and provider performance.

Key Responsibilities :

  • Conduct regular in-person visits with physicians to provide real-time support, review performance metrics, and identify opportunities for clinical and operational improvement.
  • Focus on value-based care initiatives, aligning providers to performance-based agreements that incentivize better outcomes, cost efficiency, and quality care.
  • Use data analytics to monitor provider performance and provide actionable feedback.
  • Build strong relationships with providers and internal teams, including executive leadership, to drive performance improvements.
  • Resolve provider issues and streamline processes to prevent ongoing concerns.
  • Educate providers on policies, referrals, claims submission, web portal usage, and other operational procedures.
  • Evaluate provider performance and develop strategic plans for improvement.
  • Present detailed performance reports and analyses at committee meetings.
  • Serve as a coach and lead for external representatives, providing guidance and training.
  • Travel locally as required (approximately 4 days per week).

Required Qualifications :

  • Bachelor's degree in a related field or equivalent experience; Master's preferred (Public Health, Health Administration, or Business Administration).
  • 3–5+ years of healthcare experience in managed care, provider relations, quality improvement, utilization management, or clinical operations.
  • Valid driver's license.
  • Experience with face-to-face provider engagement and performance-metric-based discussions.
  • Proficiency in HEDIS / quality measures, cost / utilization metrics, and value-based performance programs.
  • Strong project management and executive-level communication skills.
  • Ability to synthesize complex issues and influence outcomes across multiple organizational levels.
  • Preferred Qualifications :

  • Experience in medical groups, IPAs, or health plan settings.
  • Executive exposure with the ability to drive innovation, growth, provider retention, and member outcomes.
  • What We Offer :

  • Competitive salary with potential annual bonus.
  • Comprehensive benefits including health insurance, 401(k), paid time off, and tuition reimbursement.
  • Flexible work arrangements with a hybrid approach and field visits.
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