Provider Performance Manager

Centene Corporation; Canada; Remote; USD 55,000 - 99,000; Full time

Job summary

Centene Corporation is seeking a professional with a Bachelor's Degree in Nursing or a related field to enhance healthcare provider collaboration. The role includes participating in various initiatives to improve clinical outcomes and facilitate process improvements, requiring excellent interpersonal skills and a solid background in behavioral health. This position offers a competitive salary and multiple benefits, with flexible work schedules available.

Benefits

Comprehensive benefits package

401K and stock purchase plans

Tuition reimbursement

Flexible work schedules

Qualifications

• 3+ years of experience in behavioral health or value-based contracting.
• Preferred Master's in relevant fields.

Responsibilities

• Collaborate with healthcare providers for contract performance.
• Facilitate process improvement and clinical outcome enhancements.
• Participate in meetings with clinical teams and providers.

Skills

Collaboration

Process Improvement

Clinical Outcomes

Education

Bachelor's Degree in Nursing, Medicine, or Health Sciences

Master's Degree in Nursing, Physician Assistant degree, or graduate degrees in Pharmacy, Social Work, Counseling or Clinical Psychology

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Collaborate with healthcare providers to help them achieve high performance with their value based contracts.

• Build collaborative relationships with internal and external customers to facilitate process improvement and improved clinical outcomes
• Participate in internal and externa customer meetings with providers, VBC team and internal PHCO clinical team
• Participate in Joint Operating Committees (JOC's) with VBC providers, VBC team and internal PHCO clinical team
• Lead and support clinical/quality discussion on behalf of the internal Care Management team
• Work in accordance with corporate team to develop and improve departmental processes and procedures
• Performs other duties as assigned
• Complies with all policies and standards

Education: Bachelor's Degree in Nursing, Medicine, or Health Sciences required:

Master's Degree in Nursing, Physician Assistant degree or graduate degrees in the fields of Pharmacy, Social Work, Counseling or Clinical Psychology preferred.

Experience: 3+ years of behavioral health, value-based contracting, or process and performance improvement experience required

Candidate is required to reside in the state of California as there is up to 30% travel for provider and team meetings required.

Pay Range: $55,100.00 - $99,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act