Head of Provider Network Performance & Engagement

Centene Management Company LLC; New York (NY); Hybrid; USD 135,000 - 249,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements (remote,hyb

Job summary

Centene Management Company LLC is seeking a leader to oversee provider network performance and communications across the organization, driving quality and cost improvements. This remote role requires occasional travel to NY offices and favors candidates in NY or nearby states.

Requires a Bachelor's in business or healthcare administration with 8+ years in provider relations or contracting, plus strong leadership experience. Master’s degree preferred; sponsorship is not available.

Qualifications

• Bachelor's degree in business administration, healthcare administration, or related field is required.
• Master’s degree preferred.
• 8+ years in provider relations or contracting, preferably in a managed care or Medicaid environment.
• Experience leading major projects and change initiatives is preferred.
• Management experience including hiring, training, and performance management.

Responsibilities

• Oversee provider network performance and communications to improve quality and access while controlling costs and ensuring policy compliance.
• Oversee provider satisfaction programs, initiatives, and reporting tools with enterprise-wide partners.
• Oversee communication and training to providers on products, services, and tools.
• Develop enterprise metrics and reporting tools to support quality and cost improvements.
• Develop plans to expand provider engagement across corporate functions and health plans.
• Oversee creation of provider education materials and monitor policies and procedures.
• Align strategies and technologies with future needs through tactical planning.
• Collaborate with Credentialing, PDM, Contracting, Shared Services to ensure data accuracy and resolve complex provider projects.

Skills

Provider management

Contracting experience

Management experience

Education

Bachelor's degree in business administration or healthcare administration

Master’s degree (preferred)

Job description

Centene Management Company LLC is seeking a leader to oversee provider network performance and communications across the organization, driving quality and cost improvements. This remote role requires occasional travel to NY offices and favors candidates in NY or nearby states.

Requires a Bachelor's in business or healthcare administration with 8+ years in provider relations or contracting, plus strong leadership experience. Master’s degree preferred; sponsorship is not available.