Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Contracting • Network Development • Managed Care
February 8
🏰 Missouri – Remote
🤠 Texas – Remote
💵 $86k - $154.7k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
💼 Consultant
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Contracting • Network Development • Managed Care
• responsible for developing and executing the strategy to ensure adoption of Centene e-business tools • drive to reach established goals • leverage industry knowledge, cross-departmental relationships, and critical thinking skills to reach those goals • Create and drive adoption strategies for e-business tools in collaboration with market leadership • Has ownership for leading and achieving state/market goals and key performance targets • Lead and coordinate outbound calling assignments between Markets, Availity, TOPS, and any other team proactively reaching out to providers • Build relationships with each market’s Provider Experience leads and representatives to ensure successful adoption of e-business tools • Knowledge of state/market level business goals • Track and report adoption metrics by state/market • Track adoption progress by TIN and understand business impact of provider level (multi-TIN and multi-NPI) effort • Provide leadership and effectively communicate adoption status to market leaders and stakeholders, may include written executive summaries • Partner with PE leads to create provider-specific action plans for the highest volume organizations • Understand provider’s unique context and provide adoption guidance • Ensure market staff is logging program calls/interactions in CRM • Work with Voice of the Provider Team to initiate action as required by VOP reporting • Subject matter resource for markets needing specific program assistance • Partner with Centene’s Change Management, Training, and Provider Experience teams
• Bachelor's Degree in Business Administration or equivalent experience required • 4+ years experience with e-business transactions, provider workflow, health plan – provider relationships, or related experience required
• 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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