Value-Based Provider Partnerships Executive

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

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible work arrangements

Job summary

Centene is seeking a Provider Engagement Account Executive in Kentucky to build strategic partnerships between the health plan and provider networks, advancing value-based care, improving provider performance, and enhancing member outcomes.

The role acts as a trusted advisor, delivering data-driven insights, training, and support to provider organizations and internal teams. Travel is required; sponsorship is not available; the salary range and benefits are described in the posting.

Qualifications

• Bachelors degree required; masters preferred in health administration or related field.
• Five+ years in managed care, provider relations, quality improvement, or utilization management.
• Project management experience in medical group, IPA, or health plan setting.
• Executive exposure and ability to influence outcomes and growth.

Responsibilities

• Serve as strategic partner for hospital systems and large groups in value-based arrangements.
• Act as VBP SME with guidance on design, reporting, metrics, and financial methodologies.
• Deliver training and ongoing support on VBP programs, reporting, and processes.
• Manage VBP contract portfolio and support payment execution.
• Analyze datasets to identify performance trends, risks, and opportunities.
• Develop executive presentations translating data into actionable insights.
• Drive VBP success through process improvement and playbooks.
• Execute provider performance improvement strategies across VBPs and P4P initiatives.
• Build relationships with provider leaders and cross-functional teams.
• Support contracting strategy with market insights.
• Review and apply contract language to support execution.
• Educate providers on policies, claims, referrals, EDI, and portals.
• Provide leadership and mentorship to provider-facing teams.
• Resolve provider issues and improve efficiencies.
• Perform other duties as assigned.

Skills

Partnership development

Value-based care

Data analysis

Executive communication

Project management

Stakeholder management

Education

Bachelor's degree in related field

Master's degree preferred (Public Health MOH, Health Administration MHA or MBA)

Job description

Centene is seeking a Provider Engagement Account Executive in Kentucky to build strategic partnerships between the health plan and provider networks, advancing value-based care, improving provider performance, and enhancing member outcomes.

The role acts as a trusted advisor, delivering data-driven insights, training, and support to provider organizations and internal teams. Travel is required; sponsorship is not available; the salary range and benefits are described in the posting.