Provider Engagement Account Manager maintaining partnerships with contracted networks for Centene. Engaging with providers and optimizing care delivery through performance management and accountability.
Responsibilities
Maintain partnerships between the health plan and the contracted provider networks serving our communities
Build client relations to ensure delivery of the highest level of care to our members
Engage with providers to align on network performance opportunities and solutions
Drive optimal performance in contract incentive performance, quality, and cost utilization
Educate providers regarding policies and procedures related to referrals and claims submission
Requirements
Bachelor’s degree in related field or equivalent experience
Two years of provider engagement account management experience
Project management experience at a medical group, IPA, or health plan setting
Proficient in HEDIS/Quality measures, cost (MLR) and utilization
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
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