Lead Provider Engagement Account Manager

4 days ago

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Centene Corporation

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Contracting • Network Development • Managed Care

10,000+

Description

• Develop strategic partnerships between the health plan and the contracted provider networks serving our communities • Engage with providers to align on network performance opportunities and solutions • Consultative account management and accountability for issue resolution • Drive optimal performance in contract incentive performance, quality, and cost utilization • Participate in the development of network management strategies • Assist in the strategic implementation of new initiatives for performance improvement • Develop effective relationships with assigned providers that result in improved performance on quality, satisfaction and growth • Partner with assigned providers to ensure we are the easiest health plan to work with • Coordinate the operations of the team, including managing provider assignments and coverage arrangements for staff • Solve provider problems and complaints • Lead and coordinate state-wide and department projects and initiatives • Coach and develop team members • Training and onboarding for new hires • Manage on-going training and competency assessment needs • Communicate effectively and efficiently • Participate in ride-along and observations

Requirements

• Bachelor's degree in related field or equivalent experience • 4+ years of managed care or medical group experience, provider relations, quality improvement, claims, contracting, utilization management, or clinical operations • Supervisory or lead experience • Project management experience at a medical group, IPA, or health plan setting • Strong communication and presentation skills • Proficient in HEDIS/Quality measures, cost 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