Provider Engagement Account Executive

5 days ago

🇺🇸 United States – Remote

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $84.3k - $151.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧑‍💼 Account Executive

Apply Now

Receive Emails with Similar Jobs

Centene Corporation

WebsiteLinkedInAll Job Openings

Contracting • Network Development • Managed Care

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

Description

• Develop strategic partnerships between the health plan and contracted provider networks • Cultivate client relations and collaborate with providers • Participate in the development of network management strategies • Create strategic initiatives for performance improvement • Serve as a strategic partner/primary contact for hospital systems, multi-specialty groups, and large PCP groups with Value Based/Risk Components • Execute provider performance improvement strategies • Build strong interpersonal relationships with cross functional teams • Resolve provider issues as needed for resolution to internal partners • Educate providers regarding policies and procedures • Evaluate provider performance and develop strategic plan to improve performance • Present detailed HBR analysis and create reports for Joint Operating Committee meetings • Coach and train external representatives

Requirements

• Bachelor’s degree in related field or equivalent experience • Master's Degree preferred in Public Health (MOH), Health Administration (MHA) or Business Administration (MBA) • Five or more years of managed care or medical group experience, provider relations, quality improvement, utilization management, or clinical operations • Project management experience at a medical group, IPA, or health plan setting • Executive level exposure and ability to influence desired outcomes, innovation, performance, member improvements, growth and Provider retention • Ability to synthesize complex issues at multiple organizational levels, externally and internally across multi-disciplinary teams • Highly proficient in HEDIS/Quality measures, cost and utilization

Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules