Provider Engagement Account Manager - Risk & Quality

Centene

Georgia, US
Base: $56,200.00 - $101,000.00 py; bonus/equity: n...
Hybrid
Provider network partnerships
Consultative account management
Issue resolution
Maintain partnerships between the health plan and the contracted provider networks serving our communities

Job Summary

  • Maintain partnerships between the health plan and the contracted provider networks serving our communities.
  • Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution.
  • 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 with remote, hybrid, field or office work schedules.

Matching Summary

Maintain partnerships between the health plan and the contracted provider networks serving our communities.

Salary

Base: $56,200.00 - $101,000.00 per year; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • Provider network partnerships
  • Consultative account management
  • Issue resolution
  • Network performance management
  • Value-based care initiatives
  • Data analytics for performance

Nice-to-have

  • Transforming communities
  • Competitive benefits
  • Workplace flexibility

Key Requirements

  • Bachelor’s degree or equivalent experience
  • Two years of provider engagement account management experience
  • Project management experience
  • Proficient in HEDIS/Quality measures
  • Proficient in cost (MLR) and utilization
  • Ability to travel locally 4 days a week

Work Rights

Not specified

Tailored Resume

Cover Letter