Provider Engagement Account Manager - Risk & Quality

Centene

Georgia, US
$56,200.00 - $101,000.00 py; not specified; not sp...
Hybrid
Provider network management
Consultative account management
Issue resolution
Maintain partnerships between the health plan and contracted provider networks to ensure the highest level of care for members

Job Summary

  • Maintain partnerships between the health plan and contracted provider networks to ensure the highest level of care for members.
  • Engage with providers to align on network performance opportunities, drive optimal performance in contract incentives, quality, and cost utilization.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work.

Matching Summary

Maintain partnerships between the health plan and contracted provider networks to ensure the highest level of care for members.

Salary

$56,200.00 - $101,000.00 per year; Not specified; Not specified

Skills & Requirements

Must-have

  • Provider network management
  • Consultative account management
  • Issue resolution
  • Performance improvement initiatives
  • Value-based care models

Nice-to-have

  • Transforming communities
  • Fresh perspective on flexibility
  • Data analytics for feedback

Key Requirements

  • Bachelor’s degree or equivalent experience
  • Two years managed care or medical group experience
  • Project management experience
  • Proficient in HEDIS/Quality measures
  • Must live in Georgia, Fulton or Gwinnett counties

Work Rights

Not specified

Tailored Resume

Cover Letter