Provider Performance Manager

Centene Management Company LLC; Burr Ridge (IL); Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K plan

Stock purchase plan

Tuition reimbursement

Paid time off

Job summary

Centene Management Company LLC in the Chicago area seeks a healthcare operations professional to collaborate with provider staff to improve performance under value-based contracts. You will identify KPIs, develop action plans, and train staff on performance metrics, while addressing system or process issues and supporting a range of care providers across Cook and surrounding counties.

Responsibilities include identifying improvement opportunities, developing and delivering training, and

Qualifications

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

Responsibilities

• Collaborates with provider staff to develop and implement operational and clinical process improvements to help providers achieve higher performance.
• Identify, develop, and establish key performance metrics to measure performance of providers related to their value based contracts.
• Identify improvement opportunities based on key performance indicators and develop action plans.
• Develop and provide training and support to provider staffs to assist them in understanding performance metrics and implement operational and clinical improvements.
• Promote collaboration across provider groups to enable sharing of best practices and performance improvement opportunities.
• Resolve various system, process or resource issues to address provider feedback and concerns.

Skills

Behavioral health experience

Value-based contracting

Process improvement

Education

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

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

Job description

***NOTE: Travel (25%) is required throughout the Chicago metropolitan area, specifically targeting communities across Cook County and the surrounding collar counties (primarily DuPage, Lake, and Will counties)***

Position Purpose

Collaborates with provider staff to develop and implement operational and clinical process improvements to help providers achieve higher performance Identify, develop, and establish key performance metrics to measure performance of providers related to their value based contracts. Identify improvement opportunities based on key performance indicators and develop action plans Develop and provide training and support to provider staffs to assist them in understanding performance metrics and implement operational and clinical improvements Promote collaboration across provider groups to enable sharing of best practices and performance improvement opportunities Resolve various system, process or resource issues to address provider feedback and concerns Performs other duties as assigned Complies with all policies and standards

Education/Experience

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

Pay Range

$56,200.00 - $101,000.00 per year

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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.

Thanks for your interest in Centene and its subsidiary companies. We're so glad that you've decided to fill out an application and take the next step to find your purpose. Also, we're here to help support you on your candidate journey. Should you need an accommodation, please email [e-mail]. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.