Provider Performance Manager

Centene Corporation; New York (NY); Remote; USD 55,000 - 99,000; Full time

Job summary

Join a leading organization in healthcare as a Provider Performance Manager, helping to improve operational efficiencies and clinical outcomes for healthcare providers. This role involves developing key performance metrics and facilitating training to achieve performance improvements and collaboration within various provider networks. Qualified candidates with relevant degrees and experience in behavioral health and value-based contracting are encouraged to apply.

Benefits

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• 3+ years of behavioral health, value-based contracting, or performance improvement experience required.
• Candidates must be located in New York.
• Must be willing to travel 25-30% throughout New York.

Responsibilities

• Collaborate with providers for operational and clinical process improvements.
• Develop performance metrics for value-based contracts.
• Conduct training for provider staff on performance metrics.

Skills

Collaboration

Process Improvement

Clinical Knowledge

Education

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

Master's Degree in Nursing or related fields

Job description

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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.

• 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 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

Candidates must be in the state of New York to be considered for this position.

This is a remote role, but it requires up to 25-30% travel (ground or air) throughout New York.

The hiring team would prefer that this new hire live within a 1.5 hour commute from an airport to make the travel more manageable.

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

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Research, Analyst, and Information Technology

• Industries

  Hospitals and Health Care and Insurance

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