Remote Value-Based Care Partnerships Lead

WellCare of Kentucky; Kansas; On-site; USD 88,000 - 158,000; Full time

Job summary

Centene seeks a Provider Engagement Account Executive to forge strategic partnerships with provider networks and advance value-based care initiatives. You will act as a trusted advisor, delivering data-driven insights, education, and performance improvement strategies to drive provider performance and member outcomes.

You will lead contract portfolio management, analyze complex datasets, and present executive-level findings to stakeholders, while supporting negotiation and program execution

Qualifications

• Bachelor’s degree or higher; Master’s preferred in Public Health, Health Administration, or MBA.
• Five+ years in managed care, medical groups, or provider relations; quality/improvement/utilization experience.
• Project management experience in medical group, IPA, or health plan settings.
• Executive-level exposure and ability to influence outcomes and growth.
• Ability to synthesize complex issues across multi-disciplinary teams.
• Proficiency in HEDIS and utilization/cost measures.

Responsibilities

• Serve as primary strategic partner for hospital systems, multispecialty groups, and large primary care orgs in value-based and risk-based arrangements.
• Act as VBP subject matter expert: program design, reporting, metrics, and financial methodologies.
• Deliver training and ongoing support to provider orgs and internal teams on VBP programs.
• Manage VBP contract portfolio: resolve issues, correct data, support payments.
• Analyze complex datasets with Excel and dashboards to identify trends and risks.
• Develop and deliver executive presentations translating provider performance into insights.
• Drive VBP success through process improvement and best-practice playbooks.
• Execute provider performance improvement strategies across VBPs including P4P and utilization.

Skills

Executive presence

Data-driven insights

Stakeholder management

Healthcare experience

Education

Bachelor’s degree in related field

Master’s degree preferred in Public Health or MBA

Tools

Excel

Dashboards

Job description

Centene seeks a Provider Engagement Account Executive to forge strategic partnerships with provider networks and advance value-based care initiatives. You will act as a trusted advisor, delivering data-driven insights, education, and performance improvement strategies to drive provider performance and member outcomes.

You will lead contract portfolio management, analyze complex datasets, and present executive-level findings to stakeholders, while supporting negotiation and program execution