Onsite Provider Engagement Account Manager – Risk & Quality

Posted 1 hour ago

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About the role

  • 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

Job title

Provider Engagement Account Manager – Risk & Quality

Job type

Experience level

JuniorMid level

Salary

$56,200 - $101,000 per year

Degree requirement

Bachelor's Degree

Location requirements

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