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Digital Health (Initiative 6) Lead, NCRHTP
Health & Human Services
Wake County, NC
The Digital Health Initiative 6 Lead serves as the statewide program manager responsible for designing, coordinating, and implementing digital health transformation activities for the North…
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Applications Systems Specialist
Health & Human Services
Wake County, NC
The Data Office is accountable for enterprise-wide data strategy, quality, integrity, and governance standards across multiple divisions within DHHS programs. The Data Office will…
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Content Writer
Hy-Vee Food Stores
Grimes, IA
Report on content performance for assigned platforms with support from the data team.
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Creative Services Manager
Hy-Vee Food Stores
Grimes, IA
Lead assigned creative projects from brief through final delivery, developing concepts, presentations and cohesive executions across channels.
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Dialysis Clinical Manager Registered Nurse - RN
Fresenius Medical Care
Muscatine, IA
- $82,000 to $137,000 USD / year
…Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations…
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Director of Facilities
Southeast Polk Community School District
Altoona, IA
Demonstrated ability to lead personnel, manage budgets, establish priorities, and promote effective departmental operations.
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Clinical Supervisor
Aveanna Healthcare
Urbandale, IA
Lead Clinically. Support Your Team. Make a Difference.
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Lead Business Execution Consultant - Unsecured Lending Operations
Wells Fargo
WEST DES MOINES, IA
…the understanding, routines, and practical tools needed to lead responsible adoption of approved AI and automation…
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DT Sr. Project Manager
RTX Corporation
cedar rapids, IA
…and functional leads across Digital Technology. Analyzing the data to ensure teams are delivering to…
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Platform Engineer
ASM Research, An Accenture Federal Services Company
Des Moines, IA
The Platform Engineer (Ops Technology Lead) is responsible for designing, implementing, and maintaining IT infrastructure platforms within the CASTLE-NET program, ensuring reliability,…
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Principal Consultant - FirstNet
Oracle
Des Moines, IA
- $71,200 to $166,100 USD / year
Our mission? To create a human-centric healthcare experience powered by unified global data.
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Senior Manager - Quality Engineering
Oracle
Des Moines, IA
- $126,200 to $264,100 USD / year
· Lead and manage Quality Engineering, Supplier Quality, Incoming Quality Control (IQC), and Outgoing Quality Control (OQC) functions.
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Cybersecurity Manager - Utilities Industry
Accenture
Des Moines, IA
- $94,400 to $293,800 USD / year
…stakeholders, Accenture domain experts, and third-party teams. You will lead; manage plans, risks, budgets, and deliverables; and help shape practical solutions that achieve committed…
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Epic Payer Platform Lead
Accenture
Des Moines, IA
Depending on the client engagement, the Epic Payer Platform Lead will be responsible for overseeing the collaboration of multiple team with Accenture team. This person needs hands-on build…
Added 1 min ago
Network Security Engineer Master
GovCIO
Des Moines, IA
GovCIO is seeking a highly experienced Master Network & Security Engineer to lead the design, operation, troubleshooting, and continuous improvement of enterprise network-security…
Added 1 min ago
PF
Investment Ops Analyst
Principal Financial Group
Des Moines, IA
- $58,900 to $84,000 USD / year
…guidance. Identify and resolve issues associated with transactional data, trade variances, settlement variances, and/or compliance…
Added 1 min ago
Lead Product Manager - Ethernet Network
Lumen
Des Moines, IA
Lumen is the trusted network for the AI‑powered world, connecting people, data, and applications through our expansive fiber network and connected ecosystem. We enable secure,…
Added 1 min ago
Technology Delivery Lead - Energy
Accenture
Des Moines, IA
…to be the reinvention partner of choice for our clients and lead in the safe, widespread adoption of AI, and to be the most client-focused, AI-enabled, great place to work in the world. We…
Added 1 min ago
Senior Product Manager
Acxiom
Des Moines, IA
The Senior Product Manager for Clean Rooms and Data Delivery Platforms is responsible for defining and executing Acxiom’s strategy for client and partner based clean-room implementations…
Added 1 min ago
A
Technology Strategy Manager, Life Sciences Industry
Accenture
Des Moines, IA
- $87,400 to $253,000 USD / year
…leadership skills to spare. Your expertise? Advising clients on data-driven technology strategies that harness AI and other emerging capabilities to reshape client products, processes, and…
Added 1 min ago
C
Senior Java Full Stack Engineer – Spring Boot & AWS
Cognizant
Des Moines, IA
- $86,000 to $99,000 USD / year
Lead the design and development of scalable full-stack applications using Java, Spring Boot, React, and AWS, applying cloud-native and microservices architecture patterns.
Added 1 min ago
B
Program Manager, Bridgeport
buildOn
Bridgeport, CT
- $60,000 to $63,000 USD / year
buildOn seeks an experienced, passionate, and mission-driven Program Manager (PM) to manage and directly lead buildOn’s Service Learning Program at assigned partner high schools in…
Added 1 min ago
Data Center Demand Planning Specialist
Accenture LLP Company
Remote, United States
We are seeking a Supply Chain Operations / Data Center Demand Planning Specialist with hands-on planning expertise and experience supporting operational excellence, analytics, and business…
Added 1 min ago
Operations Solution Architect Senior Manager, Source to Pay
Accenture LLP Company
Remote, United States
Lead client discovery and requirements-gathering sessions, building confidence with senior buyers by demonstrating deep domain knowledge and an ability to connect their business challenges…
Added 1 min ago
Operations Solution Architect Senior Manager, Supply Chain
Accenture LLP Company
Remote, United States
…warranty and aftersales services, reverse logistics, and master data…

Amerihealth Caritas

Senior Account Executive

Newark, DE, United States

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Job details

Experience: 7 years of experience if no bachelor's degree.
Posting language: English
Posted: Nov 9, 2026

Original job description

Role Overview: The primary responsibility of Account Executive Sr. is to develop strong relationships with providers to drive for performance specifically as it relates to core providers who are on risk-based or cost sharing VBC arrangements as well as large health system contracts.

Work Arrangement:

Remote – This position is fully remote. The Associate must be able to visit provider office and attend in-office meetings as needed in Delaware (DE).

Responsibilities:

Supports network development and network management strategies.
Responsible for assisting the Leader with departmental activities related 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, oversight 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 complex.
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, Vision, etc.), and ancillary providers.
Develop/implement/manage programs and projects that support/impact high dollar and high member provider groups.
Perform site visits as needed.
Oversee 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 contracts with advanced complexity.
Consults on VBC contracts, facilitates for success (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 oversight on applicable data-sharing or report requirements.
Responsible for hospital and physician network development and management; including joint operating committees (JOC) for identified groups, oversight of necessary quality review meetings with targeted providers and/or health systems.
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.
Support contracting for multiple product lines, including LTSS, Exchange, DSNP adequacy gaps (high complexity).
Assist with recruiting providers based on identified network adequacy gaps (high complexity).
Support of VBC negotiations; lead in VBC relationships; may lead negotiations.

Education & Experience:

Associate’s degree
7 years of experience if no bachelor's degree.
5 or more years strong communication skills, financial acumen.
Ability to have difficult conversations.

Licensure:

Valid driver's license, care insurance, and reliable transportation.

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More about this job

Skills

Network administration
Communication skills
Microsoft Exchange
Recruitment
Financial capability
Valid driver's licence

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