SoTalent · 1 week ago
Provider Engagement Account Executive
East Syracuse, NY
Full-time
Hybrid
Mid Level
$86K/yr - $155K/yrSoTalent is seeking a Provider Engagement Account Executive to build strategic partnerships between health plans and contracted provider networks. This role focuses on strengthening provider relationships, advancing value-based care initiatives, and driving performance improvement to ensure high-quality, cost-effective care.
Staffing & Recruiting
Hiring Manager
Mohamed Thasleem Mohideen
Responsibilities
Develop and manage strategic partnerships with contracted provider networks serving local communities
Cultivate strong provider relationships and collaborate to enhance care quality and patient outcomes
Participate in the development and execution of network management and performance improvement strategies
Conduct regular in-person visits with physicians to provide support, review performance metrics, and identify opportunities for clinical improvement
Lead value-based care initiatives, aligning providers with performance-based agreements focused on quality, outcomes, and cost efficiency
Utilize data analytics to monitor provider performance and deliver actionable insights to improve results
Build and maintain strong relationships with internal cross-functional teams and external provider leadership, including C-suite stakeholders
Serve as a subject matter expert in value-based performance tools and methodologies to educate providers and drive improvement
Resolve provider-related issues by coordinating with internal partners and implementing preventive process improvements
Investigate, resolve, and communicate high-dollar and high-volume claims issues
Educate providers on policies, procedures, referrals, claims submission, electronic tools, and data exchange processes
Evaluate provider performance and develop targeted improvement plans
Prepare and present detailed performance analyses and reports for executive and joint operating committee meetings
Act as a lead for external representatives, providing coaching, training, and guidance
Travel locally up to four days per week
Perform additional duties as assigned and adhere to organizational policies and standards
Qualification
Required
Bachelor's degree in a related field or equivalent professional experience
Company
SoTalent
At SoTechTalent, we specialise in connecting forward-thinking tech companies with world-class talent.
Founded in 2024
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase