Remote Provider Engagement Manager (IN)

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

Benefits offered by this job

Health insurance

401K

Stock purchase plan

Tuition reimbursement

Paid time off

Holidays

Job summary

Centene Corp. is seeking a Provider Engagement Account Manager to maintain partnerships between health plans and provider networks in Indiana. You will act as the primary contact for providers, educate on referrals and claims, and drive network performance with a consultative approach.

Travel up to four days weekly is expected while supporting quality measures. The role requires a related bachelor’s degree and 2+ years in managed care or provider relations, with strong project management skills

Qualifications

• Bachelor’s degree or equivalent experience in a related field.
• 2+ years in managed care, provider relations, quality improvement, or contracting.
• Strong project management and data analysis skills.

Responsibilities

• Serve as primary contact for providers and liaison between providers and the health plan.
• Triages provider issues and coordinates resolution with internal partners.
• Educate providers on referrals, claims submission, and EDI topics.
• Manage network performance in assigned territory with a consultative approach.
• Travel locally up to 4 days a week.

Skills

Provider relations

Account management

Project management

HEDIS/Quality measures

Education

Bachelor's degree in related field

Job description

Centene Corp. is seeking a Provider Engagement Account Manager to maintain partnerships between health plans and provider networks in Indiana. You will act as the primary contact for providers, educate on referrals and claims, and drive network performance with a consultative approach.

Travel up to four days weekly is expected while supporting quality measures. The role requires a related bachelor’s degree and 2+ years in managed care or provider relations, with strong project management skills