Remote Provider Configuration Manager

Centene Corp.; New York (NY); Hybrid; USD 88,000 - 158,000; Full time

Job summary

Centene Corp. in New York, NY is seeking a senior leader for Provider Configuration, Provider, and Network Maintenance. You will guide a team of business analysts and coordinators, manage SLAs, and drive process improvements across complex configurations and claims systems.

You will partner with senior management to define initiatives, staff projects, and deliver high-quality customer service while aligning with health plan operations and corporate strategies.

Qualifications

• BA/BS in related field required.
• Eight or more years in Claims Configuration and Provider Network.
• Five or more years working in TriZetto Facets.
• Proficiency in Microsoft Office and Lotus Notes.

Responsibilities

• Lead and develop a team of cross-trained business analysts and coordinators.
• Manage SLAs and drive process improvements in configuration and maintenance.
• Collaborate across the organization to define and staff initiatives and projects.
• Provide updates to the Director, Provider Configuration Services on resources and lifecycle of projects.
• Support compliance and provider maintenance for new lines of business and innovation projects.
• Deliver high-quality customer service and promote effective communication across management levels.

Skills

People leadership

Configuration knowledge

Facets experience

Health plan operations

Analytical skills

Communication skills

Education

BA/BS in related field

Tools

TriZetto Facets

Microsoft Office

Lotus Notes

Job description

Centene Corp. in New York, NY is seeking a senior leader for Provider Configuration, Provider, and Network Maintenance. You will guide a team of business analysts and coordinators, manage SLAs, and drive process improvements across complex configurations and claims systems.

You will partner with senior management to define initiatives, staff projects, and deliver high-quality customer service while aligning with health plan operations and corporate strategies.