Jobs in the United States

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Director, Human Resources
Jobgether
Remote, United States
- $139,400 to $190,000 USD / year
Oversee HR business partner services, employee relations matters, workplace investigations, conflict resolution, and performance management support.
Added 4 mins ago
WI
(USA) Food & Consumables Coach
Walmart Inc.
United States
- $71,000 to $100,000 USD / year
…integrity ethics and compliance models the Walmart values to support and foster our culture holds oneself and others accountable supports Walmarts goal of becoming a regenerative company by…
Added 5 mins ago
Operations Manager - Hauling
BFI WASTE SERVICES OF TEXAS, LP
Beaumont, TX
Minimum of 2 years of supervisory or management experience or participation in Republic Services’ management trainee program.
Added 6 mins ago
College Intern - Water Engineering
Great Lakes Water Authority
10100 E. Jefferson Detroit, MI
The Water Engineering Intern will support GLWA’s active and pending capital improvement projects by participating in site visits, construction site visits and assisting in the preparation…
Added 6 mins ago
College Intern - Capital Improvement Planning
Great Lakes Water Authority
9300 W. Jefferson Detroit, MI
The Undergraduate Capital Improvement Planning Intern will support the development of portfolio level risk management tools for GLWA's Capital Improvement Program (CIP). This role provides…
Added 7 mins ago
BP
Environmental Monitoring Program Coordinator
Barrett Petfood
Little Falls, MN
- $24.5 to $28 USD / hour
Support SQF, customer, regulatory, and internal audits by maintaining organized, audit-ready EMP records and explaining program design, execution, findings, and corrective actions.
Added 8 mins ago
Plant HR Manager
Toppan Flexible Packaging Inc
Elk Grove, IL
Wellbeing tools and resources to support holistic health, including an Employee Assistance Program with a variety of services
Added 8 mins ago
Patient Services Representtative
Corewell Health Corporate
Grand Rapids, MI
2 year of relevant experience in insurance billing, access management, patient financial services, electronic health records, lab service support or other related fields
Added 8 mins ago
Priority Health Medicare Quality Pharmacy Intern
Corewell Health Corporate
Grand Rapids, MI
…managed care pharmacy, population health, medication therapy management, Medicare Stars quality measures, and member and provider engagement. The intern will have opportunities to apply…
Added 10 mins ago
RF
Consumer Loan Specialist - Sales Customer Service
Republic Finance, LLC
Corinth, MS
- $32,000 USD / year
Employee Assistance Program - Confidential mental health support
Added 10 mins ago
RF
Assistant Branch Manager - Sales Manager Trainee
Republic Finance, LLC
Attalla, AL
- $45,000 USD / year
…you will go through an 18 - 24 month on-the-job paid training program in which you learn all of the ins and outs of branch operations and management. Then, you pay that knowledge forward…
Added 10 mins ago
RF
Consumer Loan Specialist - Sales Customer Service
Republic Finance, LLC
Attalla, AL
- $32,000 USD / year
Employee Assistance Program - Confidential mental health support
Added 14 mins ago
Executive Administrative Assistant
BRILLIENT CORPORATION
Reston, VA
…to provide direct administrative and day-to-day operational support to the CEO. This individual will manage executive schedules and communications, coordinate the execution of CEO…
Added 16 mins ago
Priority Health Medicare Quality Pharmacy Intern
Corewell Health
Grand Rapids, MI
…managed care pharmacy, population health, medication therapy management, Medicare Stars quality measures, and member and provider engagement. The intern will have opportunities to apply…
Added 16 mins ago
Patient Services Representtative
Corewell Health
Grand Rapids, MI
2 year of relevant experience in insurance billing, access management, patient financial services, electronic health records, lab service support or other related fields
Added 18 mins ago
Senior Manager Enterprise Service Management & ServiceNow
SRP
Tempe, AZ
The Senior Manager, Enterprise Service Management & ServiceNow is the enterprise product and technology leader accountable for the vision, multi-year strategy, investment portfolio,…
Added 18 mins ago
Senior Regulatory Compliance Analyst
SRP
Scottsdale, AZ
…helps maintain clear and defensible compliance positions that support the secure, reliable operation of these networks and SRP's delivery of uninterrupted power to…
Added 18 mins ago
TO
Library Specialist
Tohono O'odham Nation
Sells, AZ
- Up to $24.49 USD / hour
Addresses customer conduct or safety issues. May refer the issues to a supervisor or a member of management as needed.
Added 19 mins ago
Senior Support Specialist, Customer Satisfaction
Rocket Travel, Inc.
Dallas, TX · Chicago, IL
At least 4-5 years of relevant experience in customer escalations, complaints resolution, incident management or partner-facing support.
Added 19 mins ago
Senior Support Specialist, Customer Satisfaction
Rocket Travel, Inc.
Chicago, IL
At least 4-5 years of relevant experience in customer escalations, complaints resolution, incident management or partner-facing support.
Added 22 mins ago
SR
Assistant Landfill Foreman
Santa Rosa County
Milton, FL
- $25.76 to $28.33 USD / hour
…prepare reports, maintain records, communicate effectively, and support solid waste operations and employee management…
Added 23 mins ago
TC
Program Coordinator I - Pathway Programs
The Children's Hospital of Philadelphia
Remote, United States
- $58,300 to $72,900 USD / year
This role will support CHOP’s two largest pathway programs (CHOP RISES & CRISSP) , with responsibility for coordinating the logistics needed to ensure each program runs smoothly.
Added 24 mins ago
AL
Lead Teacher / Assistant Director in Training
Agape Love Childcare Center LLC
Detroit, MI
- $25 to $30 USD / hour
…staff leadership, licensing and compliance, family relations, program quality, administrative systems, and day-to-day…
Added 25 mins ago
Seasonal Restaurant Supervisor - Walnut Room, State Street
Macy's
Chicago, IL
…energetic work environment, and partners with leadership to support sales, profitability, and compliance goals. In this role, the Foods Supervisor positively influences others, strengthens…
Added 25 mins ago
UU
Security Officer I
UWMSN University of Wisconsin Madison
Madison, WI
- From $23 USD / hour
UW-Madison Police Department employees will support the department's vision and mission by operating in a fair, unbiased manner which respects the rights, safety and dignity of all…

AmeriHealth Caritas

Provider Network Account Executive I

Orlando, FL, United States

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Job details

Posting language: English
Posted: Aug 8, 2026

Original job description

Job Summary:

The primary responsibility of Account Executive is to develop strong relationships with providers to drive for performance, specifically as it relates to core providers as determined by the program who are in fee for service programs and may include PCPs, OB/GYNs, high volume specialists, and FQHCs.

Essential Functions

Supports network development and network management strategies
Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication
Assist in SCA Strategy
Responsible for building, nurturing, and maintaining positive working relationships between Plan and its contracted providers
Resolve Provider disputes in a timely and compliant manner
Servicing assigned provider accounts which may include single or multiple practices in single or multiple locations, integrated delivery systems or other provider organizations
Uses data to develop and implement methods to improve relationship
Perform site visits as needed
Maintains a functional working knowledge of Facets, including the provider database and routinely relays information about additions, deletions or corrections
Identifies and maintains strong partnerships with appropriate internal resources and stakeholders
General Operational Knowledge related to provider satisfaction, education and communication with a fundamental understanding of operational items such as claims, payment integrity, provider data, credentialing, appeals disputes etc.
Maintains in depth understanding of Plan’s contracts and provider performance and needs, identifying, and conducting relevant and tailored provider orientation sessions, making educational visits and working to resolve provider issues
Assist with recruiting providers based on identified network adequacy gaps (high complexity)
Support contracting for multiple product lines, including LTSS, Exchange, DSNP could be asked to complete straightforward FFS contracts
Support of VBC relationships and negotiations where needed

Work Arrangement: Remote; Field-Based

Remote, field-based position requiring regular travel throughout assigned regions in Florida, including Lake, Orange, Osceola, Seminole, Polk, Pasco, Pinellas, and Hillsborough counties .
Conduct provider outreach, relationship management, education, training, onboarding, and on-site provider visits within the designated service areas.
Valid driver's license, current automobile insurance, and reliable personal transportation are required.

Education & Experience:

High school diploma or GED required; bachelor’s degree preferred. Equivalent combination of education and relevant experience will be considered.
Minimum of 1-3 years of Provider Services experience working directly with healthcare providers.
Demonstrated experience delivering provider education, training, onboarding, and presentations to large groups .
Minimum of 3-5 years of experience in the managed care, health insurance, or healthcare industry .
Knowledge of and experience supporting Medicare, Medicaid, and/or Affordable Care Act (ACA) Exchange programs preferred.

Preferred Skills:

Experience building and maintaining effective provider relationships.
Strong presentation, facilitation, and public speaking skills.
Ability to educate providers on policies, procedures, regulatory requirements, and operational processes.
Excellent communication, organizational, and customer service skills.
Proficiency with Microsoft Office applications and provider-facing systems preferred.

Our Comprehensive Benefits Package

We offer flexible work solutions, including remote options and hybrid schedules, competitive pay, paid time off (including holidays and volunteer events), health insurance coverage for you and your dependents starting Day 1, 401(k), tuition reimbursement, and more.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation’s leaders in healthcare solutions, we offer our associates the opportunity to impact millions of lives through our national footprint of products, services, and award-winning programs. If you want to make a difference, we’d love to hear from you.

Headquartered in Newtown Square, PA, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. Our offerings include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com

As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

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