Provider Engagement Account Executive

We need to output HTML fragment with sections: headings using

for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title. Must not include Job ID etc. Remove boilerplate like EEO etc. Must preserve all substantive info. We need to parse the posting. Key content: Position Purpose: Develop and maintain strategic partnerships between the health plan and contracted provider networks to advance value-based care initiatives, improve provider performance, and enhance member outcomes. Serve as a trusted advisor to providers and internal stakeholders by delivering data-driven insights, operational support, and performance improvement strategies. Contribute to network management, contracting, and value-based payment (VBP) program success through program administration, relationship management, analytics, education, and process optimization. Key Details: For this role, we are only considering qualified applicants residing/currently living in Kentucky. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Serve as the primary strategic partner and point of contact for hospital systems, multispecialty groups, and large primary care organizations participating in value-based and risk-based arrangements. Act as the Value-Based Program (VBP) subject matter expert by providing guidance on program design, reporting tools, performance metrics, and financial methodologies. Deliver training, education, and ongoing support to provider organizations and health plan teammates to ensure proficiency with VBP programs, reporting, and operational processes. Manage and maintain the VBP contract portfolio by resolving operational issues, correcting data discrepancies, and supporting payment execution. Analyze and interpret complex datasets using Excel, dashboards, and reporting tools to identify performance trends, risks, and improvement opportunities. Develop and deliver executive-level presentations that translate provider performance data into actionable insights and recommendations. Drive VBP success through process improvement initiatives, operational efficiencies, and development of best-practice playbooks. Execute provider performance improvement strategies across VBPs, including quality, pay-for-performance (P4P), cost, and utilization initiatives, by evaluating performance, developing action plans, and monitoring progress toward established goals. Build and maintain strong relationships with provider leaders, executive stakeholders, and cross-functional internal teams. Support contracting strategy by providing insights on provider relationships, market dynamics, and organizational considerations that influence negotiations and performance outcomes. Review, interpret, and apply value-based and provider contract language to support operational execution and issue resolution. Educate providers on policies, procedures, claims submission requirements, referral processes, referral processes, EDI capabilities, and provider portal tools. Provide leadership, guidance, and mentorship to provider-facing team members and external partners. Resolves provider issues as needed for resolution to internal partners and creating efficiencies to prevent continued concerns. Ability to travel locally 4 days a week, or as required. Perform other duties as assigned and maintain compliance with organizational policies, standards, and regulatory requirements. Education/Experience: Bachelor’s degree in related field or equivalent experience. Master's Degree preferred in Public Health (MOH), Health Administration (MHA) or Business Administration (MBA). Five or more years of managed care or medical group experience, provider relations, quality improvement, utilization management, or clinical operations. Project management experience at a medical group, IPA, or health plan setting. Executive level exposure and ability to influence desired outcomes, innovation, performance, member improvements, growth and Provider retention. Ability to synthesize complex issues at multiple organizational levels, externally and internally across multi-disciplinary teams. Highly proficient in HEDIS/Quality measures, cost and utilization. Pay Range: $87,700.00 - $157,800.00 per year Benefits: At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. We need to remove EEO etc. The last paragraph about equal opportunity employer etc is boilerplate; we should drop it. We need to decide sections: About the role (position purpose), Responsibilities (list of duties), Requirements (education/experience, maybe also location/visa), Qualifications (maybe same as requirements?), Skills (proficiency in HEDIS etc), Benefits, Pay, Schedule (travel ability). Must not create sections with filler. We need to use

• for any list of duties/requirements/benefits. Use

  for prose. We need to preserve all substantive info; not invent or summarize away detail. We need to avoid duplication. Let's extract content: Position Purpose paragraph: "Develop and maintain strategic partnerships between the health plan and contracted provider networks to advance value-based care initiatives, improve provider performance, and enhance member outcomes. Serve as a trusted advisor to providers and internal stakeholders by delivering data-driven insights, operational support, and performance improvement strategies. Contribute to network management, contracting, and value-based payment (VBP) program success through program administration, relationship management, analytics, education, and process optimization." That's prose. Key Details about location and visa: "For this role, we are only considering qualified applicants residing/currently living in Kentucky. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT." That's also prose; could go under Requirements or Qualifications. Then list of responsibilities: many bullet-like sentences. We can convert to

  • items. List them: - Serve as the primary strategic partner and point of contact for hospital systems, multispecialty groups, and large primary care organizations participating in value-based and risk-based arrangements. - Act as the Value-Based Program (VBP) subject matter expert by providing guidance on program design, reporting tools, performance metrics, and financial methodologies. - Deliver training, education, and ongoing support to provider organizations and health plan teammates to ensure proficiency with VBP programs, reporting, and operational processes. - Manage and maintain the VBP contract portfolio by resolving operational issues, correcting data discrepancies, and supporting payment execution. - Analyze and interpret complex datasets using Excel, dashboards, and reporting tools to identify performance trends, risks, and improvement opportunities. - Develop and deliver executive-level presentations that translate provider performance data into actionable insights and recommendations. - Drive VBP success through process improvement initiatives, operational efficiencies, and development of best-practice playbooks. - Execute provider performance improvement strategies across VBPs, including quality, pay-for-performance (P4P), cost, and utilization initiatives, by evaluating performance, developing action plans, and monitoring progress toward established goals. - Build and maintain strong relationships with provider leaders, executive stakeholders, and cross-functional internal teams. - Support contracting strategy by providing insights on provider relationships, market dynamics, and organizational considerations that influence negotiations and performance outcomes. - Review, interpret, and apply value-based and provider contract language to support operational execution and issue resolution. - Educate providers on policies, procedures, claims submission requirements, referral processes, EDI capabilities, and provider portal tools. - Provide leadership, guidance, and mentorship to provider-facing team members and external partners. - Resolves provider issues as needed for resolution to internal partners and creating efficiencies to prevent continued concerns. - Ability to travel locally 4 days a week, or as required. - Perform other duties as assigned and maintain compliance with organizational policies, standards, and regulatory requirements. Note: "Ability to travel locally 4 days a week, or as required." could be schedule. Education/Experience list: - Bachelor’s degree in related field or equivalent experience. - Master's Degree preferred in Public Health (MOH), Health Administration (MHA) or Business Administration (MBA). - Five or more years of managed care or medical group experience, provider relations, quality improvement, utilization management, or clinical operations. - Project management experience at a medical group, IPA, or health plan setting. - Executive level exposure and ability to influence desired outcomes, innovation, performance, member improvements, growth and Provider retention. - Ability to synthesize complex issues at multiple organizational levels, externally and internally across multi-disciplinary teams. - Highly proficient in HEDIS/Quality measures, cost and utilization. Pay: "$87,700.00 - $157,800.00 per year" Benefits paragraph: "At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility." We can turn benefits list into
    • items: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, flexible approach to work with remote, hybrid, field or office work schedules. But note: The paragraph also includes sentences about actual pay adjustment etc. Those are prose; we can keep as

      after list. Schedule: travel ability. We need to decide sections: About the role (position purpose), Responsibilities (list), Requirements (education/experience + location/visa?), Qualifications maybe same as Requirements? To avoid thin sections, we could combine education/experience and location/visa into Requirements. Skills could be HEDIS proficiency etc. Benefits separate. Pay separate. Schedule separate. We must not create sections with filler. Ensure each section has real content. Let's craft:

      About the role

      Develop and maintain strategic partnerships between the health plan and contracted provider networks to advance value-based care initiatives, improve provider performance, and enhance member outcomes. Serve as a trusted advisor to providers and internal stakeholders by delivering data-driven insights, operational support, and performance improvement strategies. Contribute to network management, contracting, and value-based payment (VBP) program success through program administration, relationship management, analytics, education, and process optimization.

      Responsibilities

      • Serve as the primary strategic partner and point of contact for hospital systems, multispecialty groups, and large primary care organizations participating in value-based and risk-based arrangements.
      • Act as the Value-Based Program (VBP) subject matter expert by providing guidance on program design, reporting tools, performance metrics, and financial methodologies.
      • Deliver training, education, and ongoing support to provider organizations and health plan teammates to ensure proficiency with VBP programs, reporting, and operational processes.
      • Manage and maintain the VBP contract portfolio by resolving operational issues, correcting data discrepancies, and supporting payment execution.
      • Analyze and interpret complex datasets using Excel, dashboards, and reporting tools to identify performance