Provider Engagement Account Manager (state)

Centene

Los Angeles, California, US
Base: $27.02 - $48.55 ph; bonus/equity: not specif...
On-site
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, solutions, and consultative account management for issue resolution.
  • Drive optimal performance in contract incentives, quality, and cost utilization through data analysis and strategic planning.

Matching Summary

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

Salary

Base: $27.02 - $48.55 per hour; Bonus/Equity: Not specified; Benefits: Competitive benefits package

Skills & Requirements

Must-have

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

Nice-to-have

  • Data analytics for performance
  • Provider education
  • Strategic planning

Key Requirements

  • Bachelor's degree or equivalent experience
  • Two years managed care or medical group experience
  • Project management experience
  • Proficient in HEDIS/Quality measures, cost and utilization

Work Rights

Not specified

Tailored Resume

Cover Letter