MDAEdge · 1 month ago
Provider Engagement Account Executive
Queens, NY
Full-time
Hybrid
Mid, Senior Level
$100K/yr - $120K/yr
3+ years expMDA Edge is a company focused on improving healthcare quality and member experience, and they are seeking a Provider Engagement Account Executive. The role involves building strategic partnerships with provider networks and leading engagement on value-based care initiatives.
Human Resources
Responsibilities
Conduct regular in-person provider visits to review performance metrics, discuss care improvement opportunities, and provide real-time support
Drive value-based care adoption by aligning providers to performance-based agreements and quality goals
Use data analytics to monitor provider performance and deliver actionable feedback and coaching
Resolve provider issues related to operations, referrals, claims submission, and high-dollar/high-volume claims
Educate providers on policies, procedures, EDI, and portal usage to streamline workflows
Evaluate provider performance, develop improvement plans, and track outcomes
Prepare and present detailed analyses and reports for Joint Operating Committee meetings
Serve as a lead for external representatives by coaching and training team members
Maintain strong relationships with internal stakeholders and external provider leadership, including C‐suite contacts
Perform other duties as assigned and comply with all policies and standards
Qualification
Required
Bachelor's degree in a related field or equivalent experience
3–5+ years in healthcare within managed care, medical groups, provider relations, quality improvement, utilization management, or clinical operations
Demonstrated face-to-face experience meeting providers to discuss performance metrics and improvement actions
Valid driver's license and ability to travel locally four days a week
Preferred
Master's degree in Public Health, Health Administration, or Business Administration
Project management experience in a medical group, IPA, or health plan setting
Experience influencing executive-level stakeholders on performance and growth initiatives
Strong proficiency with HEDIS and quality measures, cost and utilization analytics, and value-based performance
Benefits
Potential annual bonus targets up to 8% based on company performance goals.
Company
MDAEdge
At MDAEdge, we help our clients reinvent innovation, optimize operations, and reshape perceptions—ensuring they remain at the forefront in today’s fast-evolving world.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase