Claim Manager organizing compensation claims and providing administrative support in public transport sector. Collaborating on negotiation processes and managing documentation for damage claims.
About the role
- Manager overseeing Provider Relations team at Centene. Responsibilities include managing staff, improving provider satisfaction, and supporting the Provider Engagement Operating Model.
Responsibilities
- Oversee approximately 10 individual contributors (Provider Engagement Account Managers - PEAM)
- Ensure staff is following organizational policies and procedures
- Manage provider relationships to maintain/improve provider satisfaction
- Provide assistance in escalating claim issues
- Participate in provider meetings/JOCs
- Delegate work, hire / interview staff, train and provide development opportunities for staff
- Manage projects and ad hoc requests accordingly
- Support the Provider Engagement Operating Model (PEOM)
Requirements
- Bachelor’s degree in related field or equivalent experience
- 4+ years of managed care, health delivery system and/or project and staff management experience
- Experience with state and federal health programs such as Medicaid and Medicare
- Provider relations/contracting experience including solid communication and negotiation skills
- Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Job title
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Degree requirement
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