Outcomes Executive

Job Summary

Managing strategic relationships across a portfolio of enterprise payer accounts, the full-time Outcomes Executive will focus on risk adjustment and quality programs, driving retention and expansion while working remotely.

Key responsibilities

• Serve as the primary strategic partner to C-suite and senior leadership within assigned enterprise payer accounts
• Build and maintain executive-level relationships through on-site visits and quarterly business reviews
• Analyze plan membership and product utilization data to identify opportunities and develop actionable sales strategies

Required qualifications

• Extensive knowledge of CMS and NCQA program mechanics, risk adjustment models, and HEDIS measure specifications
• Experience in managing enterprise-level client relationships within the healthcare or payer industry
• Proven ability to drive revenue outcomes and manage complex sales cycles
• Strong understanding of value-based care strategies and interoperability mandates
• Experience navigating payer procurement and contracting processes