Provider Engagement Account Executive

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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 contracted provider networks • Cultivate client relations and collaborate with providers for quality care • Participate in the development of network management strategies • Create strategic initiatives for performance improvement • Serve as primary contact for hospital systems and large PCP groups • Execute provider performance improvement strategies • Build strong interpersonal relationships with cross-functional teams • Resolve provider issues and educate on policies and procedures • Evaluate provider performance and develop improvement strategies • Present detailed HBR analysis and create reports for meetings • Coach and train external representatives • Ability to travel locally 4 days a week

Requirements

• Bachelor’s degree in related field or equivalent experience • Master's Degree preferred in Public Health (MOH), Health Administration (MHA) or Business Administration (MBA) • Five or more years of managed care or medical group experience • Project management experience at a medical group, IPA, or health plan setting • Executive level exposure and ability to influence desired outcomes • Ability to synthesize complex issues at multiple organizational levels • Highly 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