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6 дней назад

Provider Engagement Account Executive (Healthcare)

87 700 - 157 800$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Provider Engagement Account Executive (Healthcare): Managing strategic provider partnerships and value-based payment programs to improve performance, quality, cost, utilization, and member outcomes with an accent on provider relations, contract administration, analytics, and executive communication. Focus on interpreting complex performance data, resolving operational and contract issues, developing improvement plans, and supporting negotiations across provider networks.

Location: Remote in Kentucky; applicants must currently reside in Kentucky and be authorized to work in the United States without employment-based visa sponsorship. Local travel is required four days per week or as needed.

Salary: $87,700–$157,800 per year

Company

hirify.global provides healthcare coverage and works to improve access to care and member health outcomes.

What you will do

  • Manage strategic relationships with hospital systems, multispecialty groups, and primary care organizations participating in value-based and risk-based arrangements.
  • Serve as a subject matter expert on value-based payment program design, reporting, performance metrics, and financial methodologies.
  • Manage the value-based payment contract portfolio, resolve operational issues, correct data discrepancies, and support payment execution.
  • Analyze provider performance data to identify trends, risks, and improvement opportunities, then present actionable recommendations to executives.
  • Lead provider performance improvement initiatives covering quality, pay-for-performance, cost, and utilization.
  • Support contracting strategy, provider education, operational process improvement, and issue resolution across internal and external stakeholders.

Requirements

  • Bachelor’s degree in a related field or equivalent experience.
  • Five or more years of experience in managed care, medical groups, provider relations, quality improvement, utilization management, or clinical operations.
  • Experience with project management in a medical group, IPA, or health plan setting.
  • Executive-level exposure and the ability to influence performance, growth, innovation, member outcomes, and provider retention.
  • Ability to synthesize complex issues across multidisciplinary teams and organizational levels.
  • High proficiency in HEDIS and quality measures, cost, and utilization; strong skills with Excel, dashboards, and reporting tools.

Nice to have

  • Master’s degree in Public Health, Health Administration, or Business Administration.
  • Experience providing leadership, guidance, or mentorship to provider-facing teams and external partners.

Culture & Benefits

  • Meaningful work focused on improving healthcare access and outcomes.
  • Health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off, and holidays.
  • Flexible work approaches across remote, hybrid, field, and office schedules, subject to role requirements.
  • Equal opportunity employment and consideration for qualified applicants in accordance with applicable law.

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