Provider Engagement Account Executive

Centene

Base: $86,000.00 - $154,700.00 py; bonus/equity: +...
Hybrid
Strategic partnership development with providers
Value-based care model expertise
Hedis and quality measure proficiency
Centene is seeking a Provider Engagement Account Executive to develop strategic partnerships with contracted provider networks, focusing on enhancing patient care and improving performance metrics. The ideal candidate will have extensive experience in managed care, provider relations, and quality improvement, with a strong ability to influence outcomes and collaborate with cross-functional teams

Job Summary

  • The role focuses on developing strategic partnerships between Centene's health plan and contracted provider networks to improve community health outcomes.
  • Candidates will utilize data analytics and HEDIS measures to drive performance improvement initiatives and align physicians with value-based care agreements.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, stock purchase plans, and flexible work schedules.

Matching Summary

Match Score: 85

Centene is seeking a Provider Engagement Account Executive to develop strategic partnerships with contracted provider networks, focusing on enhancing patient care and improving performance metrics. The ideal candidate will have extensive experience in managed care, provider relations, and quality improvement, with a strong ability to influence outcomes and collaborate with cross-functional teams.

Salary

Base: $86,000.00 - $154,700.00 per year; Bonus/Equity: Additional incentives may apply; Benefits: Competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off

Skills & Requirements

Must-have

  • Strategic partnership development with providers
  • Value-based care model expertise
  • HEDIS and quality measure proficiency
  • Data analytics for provider performance tracking
  • Provider relations and issue resolution
  • Cross-functional collaboration with C-suite

Nice-to-have

  • Executive level influence and innovation
  • Strong interpersonal relationship building
  • Project management in medical group settings
  • Ability to synthesize complex multi-level issues
  • Coaching and training external representatives

Key Requirements

  • Bachelor's degree required; Master's preferred in Public Health, MHA, or MBA
  • Five or more years of managed care or provider relations experience
  • Experience with project management in medical groups or health plans
  • Expert proficiency in value-based performance (VBP) tools
  • High dollar and high volume claim issue resolution skills

Work Rights

Not specified

Tailored Resume

Cover Letter