Remote Senior Director, Provider Network Performance

Centene Corporation; Connecticut; Remoto; USD 135.000 - 249.000; Tempo pieno

Descrizione del lavoro

Centene is seeking a senior leader to oversee provider network performance and communications, driving quality, access, and cost effectiveness across the enterprise. This remote role requires occasional travel to NY offices and nearby states.

You will guide provider education, develop enterprise metrics, and partner with Credentialing, Contracting, Shared Services to ensure data accuracy and successful implementation of engagement strategies.

Competenze

• Bachelor’s degree in business administration, healthcare administration, or related field; Master’s degree preferred.
• 8+ years of provider relations or contracting experience, preferably in managed care or Medicaid.
• Experience leading major projects and change initiatives; previous staff management experience.

Mansioni

• Oversee provider network performance and communications to improve quality and access.
• Oversee provider satisfaction programs and reporting tools in partnership with leaders.
• Oversee the communication and training to providers on products, services, and tools.
• Develop enterprise metrics and reporting tools.
• Develop and implement plans to deploy provider engagement across functional areas and health plans.
• Oversee implementation of provider education materials and monitor policies and procedures.
• Partner with Credentialing, PDM, Contracting, Shared Services to ensure data accuracy.
• Oversee and direct resolution of complex provider projects including direct communication with providers.

Conoscenze

Provider relations

Contracting

Project leadership

Formazione

Bachelor’s degree in business administration or healthcare administration

Master’s degree preferred

Descrizione del lavoro

Centene is seeking a senior leader to oversee provider network performance and communications, driving quality, access, and cost effectiveness across the enterprise. This remote role requires occasional travel to NY offices and nearby states.

You will guide provider education, develop enterprise metrics, and partner with Credentialing, Contracting, Shared Services to ensure data accuracy and successful implementation of engagement strategies.