Remote Network Accounts Supervisor

Centene Management Company LLC; Town of Texas (WI); 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 + holidays

Remote, hybrid, field or office work

Job summary

Centene is seeking a Network Accounts Supervisor to supervise the day-to-day operations of the network accounts department and ensure compliance with health plan and state policies. The role includes coordinating contracting activities, responding to escalated issues and maintaining provider manuals, with opportunities to lead quality initiatives and staff training.

Qualified candidates will have a Bachelor’s degree or equivalent, 3+ years in network accounts or related fields, and supervisory

Qualifications

• Bachelor’s degree or equivalent experience.
• 3+ years of network account management, provider contracting or billing experience in a managed care environment.
• Supervisory or lead experience preferred. Knowledge of managed care and state Medicaid program guidelines.

Responsibilities

• Supervise the day-to-day workflow of the network accounts function.
• Assist with provider contracting activities to minimize contract issues/errors.
• Review and audit network accounts documentation for compliance with health plan and state standards.
• Plan, coordinate and participate in meetings with network account representatives to conduct orientations, train on health plan policies and procedures.
• Analyze, develop, implement and monitor quality initiatives to achieve healthy outcomes for assigned projects.
• Coordinate and host health plan-sponsored events held for network account representatives.
• Assist in the development of policies and procedures and update and maintain the Provider Manuals.

Education

Bachelor’s degree or equivalent experience

Job description

Centene is seeking a Network Accounts Supervisor to supervise the day-to-day operations of the network accounts department and ensure compliance with health plan and state policies. The role includes coordinating contracting activities, responding to escalated issues and maintaining provider manuals, with opportunities to lead quality initiatives and staff training.

Qualified candidates will have a Bachelor’s degree or equivalent, 3+ years in network accounts or related fields, and supervisory