Provider Engagement Account Manager

2 days ago

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Centene Corporation

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Contracting • Network Development • Managed Care

10,000+

Description

• Maintain partnerships between health plan and contracted provider networks • Build client relations to ensure delivery of highest level of care • Engage with providers on network performance opportunities • Drive optimal performance in contract incentive performance • Serve as primary contact for providers • Investigate, resolve and communicate provider claim issues • Educate providers regarding policies and procedures • Perform provider orientations and ongoing provider education • Develop strategic plan to improve provider performance • Completes special projects as assigned • Travels locally 4 days a week

Requirements

• Bachelor’s degree in related field or equivalent experience • Two years of managed care or medical group experience • Provider relations, quality improvement, claims, contracting utilization management, or clinical operations experience • Project management experience at a medical group, IPA, or health plan setting • Proficient in HEDIS/Quality measures, cost and utilization • Driver’s License required

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