Provider Engagement & Network Performance Manager OK

Centene Corporation; Oklahoma City (OK); Hybrid; USD 56,000 - 101,000; 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: remote, hybrid, field,

Job summary

Centene Corporation is seeking a Provider Relations/Account Management professional to maintain partnerships between the health plan and contracted provider networks. You will build client relations to enhance care delivery, travel locally four days a week, and advise on performance opportunities and cost utilization.

You will educate providers on policies, conduct orientations, and manage network performance for your territory, using data analytics to drive improvements in risk, quality, and

Qualifications

• Bachelor’s degree in related field or equivalent experience.
• Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.
• Proficient in HEDIS/Quality measures, cost and utilization.

Responsibilities

• Serve as primary contact for providers and act as a liaison between the providers and the health plan.

Job description

Centene Corporation is seeking a Provider Relations/Account Management professional to maintain partnerships between the health plan and contracted provider networks. You will build client relations to enhance care delivery, travel locally four days a week, and advise on performance opportunities and cost utilization.

You will educate providers on policies, conduct orientations, and manage network performance for your territory, using data analytics to drive improvements in risk, quality, and