Provider Engagement Account Executive - New York, NY

MissionHires; New York (NY); On-site; USD 75,000 - 90,000; Full time

Benefits offered by this job

Potential annual bonus of up to 8% based on company performance

Job summary

MissionHires is seeking a Provider Engagement Account Executive in New York to act as a strategic liaison between a major health organization and its provider network in Queens and the Bronx. This hybrid role involves 30–50% in-person meetings and remote work, focusing on value-based care performance and operational improvement.

The successful candidate will leverage data analytics to inform strategies, conduct in-person meetings, and collaborate across departments to enhance outcomes and resolve issues. A bachelor's degree in a relevant field and 5+ years of experience are required.

Qualifications

• 5+ years of experience in managed care, provider relations, clinical operations, or quality improvement.
• Proven experience conducting face-to-face provider visits to review performance metrics.
• Strong understanding of HEDIS/quality measures, utilization management, and cost management.

Responsibilities

• Conduct frequent in-person meetings with providers to review performance and quality metrics.
• Collaborate with providers on value-based care agreements and align on outcomes.
• Analyze performance data to deliver actionable insights that improve clinical and operational outcomes.

Skills

Data analysis

Communication skills

Project management

Relationship management

Education

Bachelor's degree in healthcare, public health, or related field

Master's degree preferred

Job description

MissionHires is seeking a Provider Engagement Account Executive to serve as the strategic liaison between a major health organization and its provider network across Queens and the Bronx. This hybrid role combines frequent field engagement (30–50% in-person) with remote work to drive value-based care performance, elevate quality metrics, reduce costs, and resolve operational issues. You will leverage data analytics to inform provider strategies, lead Joint Operating Committee presentations, mentor representatives, and collaborate cross‑functionally to achieve performance targets.

Responsibilities

• Conduct frequent in‑person meetings with providers (30–50% of time) to review performance and quality metrics
• Collaborate with providers on value‑based care agreements and align on outcomes, cost efficiency, and quality
• Analyze performance data to deliver actionable insights that improve clinical and operational outcomes
• Lead resolution of high‑dollar or high‑volume claims issues and provider‑related inquiries
• Prepare and present performance analytics and recommendations during Joint Operating Committee (JOC) meetings
• Educate providers on referrals, claims processes, web tools, EDI, and operational procedures
• Serve as team lead for external representatives; provide training, mentorship, and guidance
• Partner cross‑functionally with internal departments and external provider executives to drive results
• Travel locally within Queens and the Bronx approximately 4 days per week
• Utilize company‑provided equipment to perform hybrid, home‑based work effectively

Requirements

• 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
• Proven experience conducting face‑to‑face provider visits to review performance metrics
• Background in project management within a health plan, IPA, or medical group environment
• Strong understanding of HEDIS/quality measures, utilization management, and cost management
• Demonstrated ability to influence executive leadership and drive performance improvement
• Strong data analysis skills with the ability to translate insights into actionable recommendations
• Excellent communication, presentation, and relationship management skills
• Valid driver's license and ability to travel locally within Queens and the Bronx
• Comfort working in a hybrid role with company‑provided equipment for home‑based work

Benefits

Potential annual bonus of up to 8% based on company performance