Provider Engagement Account Executive - Queens & The Bronx, New York

Provider Engagement Account Executive — Hybrid, full-time role based in Queens & The Bronx, NY. This position serves as a key liaison between a major health organization and its provider network to drive performance improvement, enhance care quality, and support value-based care initiatives. The role combines field work (approximately 30–50% in-person provider meetings and local travel ~4 days/week) with remote flexibility and company-provided equipment for home-based work.

• Conduct frequent in-person meetings with providers (30–50% of time) to support performance improvement and discuss quality metrics.
• Collaborate with providers on value-based care agreements and align on outcomes, cost efficiency, and quality metrics.
• Analyze performance data to offer actionable insights that improve provider delivery and outcomes.
• Lead issue resolution for high-dollar or high-volume claims and provider-related inquiries.
• Present performance analytics and recommendations to senior stakeholders during Joint Operating Committee (JOC) meetings.
• Provide education on referrals, claims, web tools, EDI, and operational procedures.
• Serve as a team lead for external representatives; provide training and mentorship.
• Work cross-functionally with internal departments and external provider executives.
• Travel locally within Queens and the Bronx approximately 4 days per week.

• Bachelor's degree in healthcare, public health, or related field (Master's degree preferred).
• 5+ years of experience in managed care, provider relations, clinical operations, or quality improvement.
• Hands-on experience conducting face-to-face provider visits to review performance metrics.
• Background in project management within health plan, IPA, or medical group settings.
• Strong grasp of HEDIS/Quality measures, utilization, and cost management.
• Demonstrated ability to work with executive leadership and influence change.
• Valid driver's license and ability to travel locally.