Provider Engagement Account Executive
Core
Develop and maintain strategic partnerships between the health plan and contracted provider networks to advance value-based care initiatives and improve provider performance.
Role type
Provider Engagement Account Executive (Value-Based Care)
Builds
Value-based payment (VBP) programs, provider performance improvement strategies, and network management solutions.
Domain
Healthcare / Managed Care / Value-Based Care
Deliverable
client delivery
Required skills
Value-Based Program (VBP) subject matter expertise, contract portfolio management, data analysis (Excel, dashboards), executive-level presentation skills, process improvement, provider performance evaluation, contract language interpretation, HEDIS/Quality measures proficiency, cost and utilization analysis.
Preferred skills
Master's Degree in Public Health (MOH), Health Administration (MHA), or Business Administration (MBA), project management experience at a medical group/IPA/health plan.
Technologies
Excel, reporting tools, provider portal tools, EDI capabilities.
Responsibilities
Serve as primary strategic partner for hospital systems and provider organizations; provide guidance on VBP program design and financial methodologies; deliver training and support to provider organizations; manage and maintain the VBP contract portfolio; analyze complex datasets to identify performance trends; develop executive-level presentations; drive process improvement initiatives; execute provider performance improvement strategies; support contracting strategy; educate providers on policies and procedures; provide leadership and mentorship to team members.
Seniority
Mid-Senior level, hands-on IC with executive exposure
