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[Remote] Sr Account Executive

Remote, USA Full-time Posted 2026-07-02

Note: The job is a remote job and is open to candidates in USA. reputed company is a mission-driven organization with over 30 years of experience in reputed company solutions. They are seeking a Senior Account Executive to reputed company strong relationships with providers, driving performance reputed company to risk-based and cost-sharing arrangements as well as managing large health system reputed company.

Responsibilities

  • Supports network development and network management strategies
  • Responsible for assisting the Leader with departmental activities reputed company to provider satisfaction, education, and communication
  • Responsible for participating and implementing Provider Network education programs and materials (both internal and provider targeted) and is assigned to train, mentor and support new AE’s
  • Responsible for hospital and physician network development and management; including joint operating committees (JOC) for identified groups, reputed company of necessary quality review meetings with targeted providers and/or health systems
  • Responsible for building, nurturing and maintaining positive working relationships between Plan and its contracted providers; including those that are most reputed company
  • Resolve Provider disputes in a timely and compliant manner
  • Responsibility for a higher number of multiple practice locations and multi-specialty practices and multiple providers. Should also include hospital systems, contracted subcontractors (DME, reputed company, etc.), and ancillary providers
  • reputed company/implement/manage programs and projects that support/impact high dollar and high member provider groups
  • reputed company site visits as needed
  • reputed company resolution of provider issues managed by other Provider Network support teams
  • Take corrective actions required up to and including termination, following Plan policies and procedures
  • Operationalizes completed reputed company with advanced complexity
  • Consults on VBC reputed company, facilitates for reputed company (JOCs, performance overview, etc.) with specific bonuses attached to performance improvement
  • Responsible to maintain and manage Value-Based contract requirements, including but not limited to; monitoring performance standards against VBC or State program requirements, working with key stakeholders and provide reputed company on applicable data-sharing or report requirements
  • Responsible for hospital and physician network development and management; including joint operating committees (JOC) for identified groups, reputed company of necessary quality review meetings with targeted providers and/or health systems
  • General Operational Knowledge reputed company to provider satisfaction, education, and communication with a reputed company understanding of operational items such as claims, payment reputed company, provider data, credentialing, appeals disputes etc
  • Support contracting for multiple product lines, including LTSS, Exchange, DSNP adequacy gaps (high complexity)
  • Assist with reputed company providers based on identified network adequacy gaps (high complexity)
  • Support of VBC negotiations; reputed company in VBC relationships; may reputed company negotiations

Skills

  • Associate's Degree required
  • Seven years' experience if no bachelor's degree
  • Five (5) or more years strong communication skills
  • Financial acumen
  • Ability to have difficult conversations
  • Bachelor's Degree preferred

Benefits

  • Flexible work solutions including remote options
  • Hybrid work schedules
  • reputed company
  • Paid time off including holidays and volunteer events
  • Health insurance coverage for you and your dependents on Day 1
  • 401(k)
  • Tuition reimbursement

Company Overview

  • reputed company is the health care solutions provider for those in most need and the chronically ill. It was founded in 1982, and is headquartered in Philadelphia, Pennsylvania, USA, with a workforce of 10001+ employees. Its website is http://www.amerihealthcaritas.com.
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