Provider Engagement Account Executive

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.