Jobs in the United States

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On-site Home Visitor, LCSW/LMFT any state, RN/BSN, Fort Meade, Maryland
Magellan Federal, Inc.
United States
…and parents of children from birth to 3 years of age. This program seeks to support young military Families which directly contribute to military mission readiness, support Family members’…
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Customer Service Representative
Border States
Jackson, TN
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Registered Nurse (RN) Acute Care Telemetry/Neuro unit
Inova
Alexandria, VA
Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro…
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M
Selector IV
Mclane
Kissimmee, FL
- $19.65 USD / hour
Additional benefits: pet insurance, parental leave, employee assistance programs, discount programs, tuition reimbursement program, and more!
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Palletizer
Mclane
Kissimmee, FL
- $17.55 USD / hour
Additional benefits: pet insurance, parental leave, employee assistance programs, discount programs, tuition reimbursement program, and more!
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Forklift Operator
Mclane
Kissimmee, FL
- $19.65 USD / hour
Additional benefits: pet insurance, parental leave, employee assistance programs, discount programs, tuition reimbursement program, and more!
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Warehouse Forklift
Mclane
Austell, GA
- $20.55 USD / hour
Additional benefits: pet insurance, parental leave, employee assistance programs, discount programs, tuition reimbursement program, and more!
Added 1 min ago
Senior Infrastructure Solutions Engineering (AI & Automation)
ewminds consulting Services
Frazer Township, PA
Our client is seeking a highly experienced Senior Vice President, Infrastructure Solutions Engineering leader to drive the next generation of AI-powered infrastructure automation across the…
Added 1 min ago
Software Engineer I
Planview Incorporated
Remote, United States
As the global leader in Strategic Portfolio Management, Planview helps organizations of all sizes achieve their business goals, faster and smarter. Our comprehensive platform bring…
Added 1 min ago
General Manager
Potbelly
Fairfax, VA
The General Manager is the leader of the Potbelly shop. They should bring their good vibes every day to create an environment of belonging and teamwork in order to make Potbelly a fun place…
Added 1 min ago
Patient Care Technician - Samaritan MHU Adult Psych - FT Day
Trinity Health
Troy, NY
Recognized leader: State of the art new facility
Added 1 min ago
Hospice Admission Nurse
Trinity Health
Grand Haven, MI
Nearly every leader here started in a field role - advance clinically or step into leadership.
Added 1 min ago
Full- Time Days MRI Tech- Clifton Park Advanced Imaging
Trinity Health
Clifton Park, NY
Recognized leader: Magnet Hospital in the Capital Region
Added 1 min ago
RNII - FT Days CVOR at St Peters Hospital
Trinity Health
Albany, NY
…environment and are supported by the comprehensive orientation…
Added 1 min ago
Patient Care Technician - Samaritan MHU Adult Psych - FT Day Track
Trinity Health
Troy, NY
Recognized leader: State of the art new facility
Added 1 min ago
Registered Nurse RN Week Days 4 MedSurg
Trinity Health
Athens, GA
The Staff RN is responsible for assessing, planning, implementing and evaluating the care of patients. Functions as the leader for a nursing unit and assumes responsibility as Charge Nurse…
Added 1 min ago
Education Partnerships Manager
BDV Cultural Exchange
Remote, United States
…on a regional team, working closely with your Regional Sales Leader to grow placements across your territory’s priority states. You will prospect, build relationships, and close…
Added 1 min ago
ASSISTANT VICE CHANCELLOR FOR UNIVERSITY ADVANCEMENT #00025750
University of Missouri System
MO
We seek a leader who inspires excellence, brings the strategic mindset required to navigate a campaign environment, leads with integrity, embraces data-informed decision making while…
Added 1 min ago
Sales Executive In House
Hilton Grand Vacations
Scottsdale, AZ
Financial Wellness - 401k plan with company match, Life insurance, Company stock purchase program
Added 1 min ago
UF
Senior Payer Enrollment Specialist
US Fertility
Remote, United States
- $55,000 to $65,000 USD / year
Across our national footprint, US Fertility is a leader in offering clinical, administrative, and operational career opportunities at locations throughout the United States. We are equall
Added 2 mins ago
CC
Front of House Manager
Cadence Chandler by Cogir
Chandler, AZ
- $23 USD / hour
…living communities spanning 11 states nationwide. As a trusted leader in senior housing, we are dedicated to growth while maintaining our commitment to exceptional care for our residents…
Added 2 mins ago
Team Leader - Keyholder
Vera Bradley Sales, LLC
Central Valley, NY
Holistic wellness program providing no cost access to a variety of financial, physical, and mental wellness experts
Added 2 mins ago
HOUSEKEEPING INSP/SUP - ROOMS
Twenty Four Seven Hotels
Palm Desert, CA
Inspect rooms as assigned daily by the department leader
Added 2 mins ago
LC
Certified Nursing Assistant (CNA)
Life Care Center of Acton
Acton, MA
- $19 to $29.16 USD / hour
Weekend Warrior program - work every weekend Saturday & Sunday earn additional $3 shift differentials, shift differentials range from $8-$10
Added 2 mins ago
LC
Certified Nursing Assistant (CNA)
Life Care Center of Acton
Acton, MA
- $19 to $29.16 USD / hour
Weekend Warrior program - work every weekend Saturday & Sunday earn additional $3 shift differentials, shift differentials range from $8-$10

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 located in Delaware (DE) to attend in office meeting as needed.

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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