Provider Performance Manager

Centene Corp.; Clayton, Northern (MO, KY); Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible remote/hybrid/office work

Job summary

Centene Corp. in the United States is seeking a professional to improve value-based contracts through operational and clinical improvements. You will develop and monitor performance metrics, identify opportunities, and train provider staff to interpret results.

This remote role supports the US, with occasional travel; a Bachelor's in Business Admin, Finance, Public Health, or related field is required, and 3+ years in value-based contracting or performance improvement is preferred.

Qualifications

• Bachelor's degree required; Master's preferred.
• 3+ years of value-based contracting, managed care, or process and performance improvement experience.

Responsibilities

• Collaborate with provider staff to develop and implement improvements to achieve higher performance.
• Identify key performance metrics to measure provider performance related to value-based contracts.
• Identify improvement opportunities based on KPIs and develop action plans.
• Develop and provide training and support to provider staff on performance metrics and improvements.
• Promote collaboration across provider groups to share best practices and opportunities.

Skills

Value-based contracting

Process improvement

Healthcare collaboration

KPIs / metrics

Training & support

Education

Bachelor's Degree in Business Administration, Finance, Public Health, or related field

Master's Degree preferred

Job description

Position Purpose: Collaborate with healthcare providers to help them achieve high performance with their value based contracts. Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.

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
• For Population Health : 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 & Experience

Bachelor's Degree in Business Administration, Finance, Public Health, or a related field required. Master's Degree preferred. 3+ years of value-based contracting, managed care, or process and performance improvement experience required.

Employment Details

This is a remote position open to someone working anywhere in the United States, but Central and Eastern time zones are the preferred locations. It may require occasional travel a few times/year.

Pay Range

$56,200.00 - $101,000.00 per year

About Centene

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.

Benefits

• 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.
• Total compensation may also include additional forms of incentives.
• Benefits may be subject to program eligibility.
• 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.

Diversity & Inclusion

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.