Remote Provider Engagement Lead – Healthcare Network

Centene Corp.; Ohio; Teletrabalho; USD 56 000 - 101 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules (remote,hybrid

Resumo da oferta

Centene Corp. is seeking a Senior Provider Engagement Network Specialist to ensure accurate provider setup in information systems for state reporting, claims payment, and directories.

The role requires Ohio residency and involves liaising with providers and health plans to resolve data issues and contract interpretation. The position emphasizes collaboration, problem solving, and maintaining up-to-date provider databases while training providers and coordinating with internal departments.

Qualificações

• Bachelor’s degree in healthcare related field or equivalent experience.
• 5+ years of provider services experience in a managed health care environment.
• Experience with provider contracting and benefits interpretation.

Responsabilidades

• Maintain accurate provider databases and provide training to providers.
• Resolve provider data issues and assist external provider representatives.
• Research and respond to complex provider contracting and claims issues.
• Coordinate with health plan and internal departments on provider relations.
• Serve as department subject matter expert and support all policy standards.

Descrição da oferta de emprego

Centene Corp. is seeking a Senior Provider Engagement Network Specialist to ensure accurate provider setup in information systems for state reporting, claims payment, and directories.

The role requires Ohio residency and involves liaising with providers and health plans to resolve data issues and contract interpretation. The position emphasizes collaboration, problem solving, and maintaining up-to-date provider databases while training providers and coordinating with internal departments.