Provider Engagement Account Executive

Centene Corporation

. Develop and maintain strategic partnerships between the health plan and contracted provider networks .

Posted 9/25/2026full-timeRemote • Kentucky • United StatesMid-LevelSenior💰 $87,700 - $157,800 per yearWebsite

About the role

Key responsibilities & impact

Develop and maintain strategic partnerships between the health plan and contracted provider networks
Advance value-based care initiatives, improve provider performance, and enhance member outcomes
Serve as a trusted advisor to providers and internal stakeholders through data-driven insights, operational support, and performance improvement strategies
Serve as primary strategic partner and point of contact for hospital systems, multispecialty groups, and large primary care organizations
Provide guidance on value-based program design, reporting tools, performance metrics, and financial methodologies
Deliver training, education, and ongoing support on value-based programs, reporting, and operational processes
Manage and maintain the value-based payment contract portfolio, resolve operational issues, correct data discrepancies, and support payment execution
Analyze complex datasets using Excel, dashboards, and reporting tools
Develop executive-level presentations translating provider performance data into actionable insights and recommendations
Drive process improvement initiatives, operational efficiencies, and best-practice playbooks
Execute provider performance improvement strategies across quality, pay-for-performance, cost, and utilization initiatives
Build and maintain relationships with provider leaders, executive stakeholders, and cross-functional internal teams
Support contracting strategy with insights on provider relationships, market dynamics, and organizational considerations
Review, interpret, and apply value-based and provider contract language
Educate providers on policies, procedures, claims submission requirements, referral processes, EDI capabilities, and provider portal tools
Provide leadership, guidance, and mentorship to provider-facing team members and external partners
Resolve provider issues and create efficiencies to prevent recurring concerns
Perform other duties as assigned

Requirements

What you’ll need

Qualified applicants must reside/currently live in Kentucky
Must be authorized to work in the U.S. without employment-based visa sponsorship now or in the future
Bachelor’s degree in related field or equivalent experience
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 across multidisciplinary teams
Highly proficient in HEDIS/Quality measures, cost, and utilization
Ability to travel locally 4 days a week, or as required
Must maintain compliance with organizational policies, standards, and regulatory requirements

Benefits

Comp & perks

Competitive pay
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Equal opportunity employer committed to diversity