Provider Engagement Account Manager (state)

Centene

California, US
Base: $27.02 - $48.55 ph; bonus/equity: not specif...
Hybrid
Provider network management
Client relationship building
Issue resolution and triage
Maintain partnerships between the health plan and contracted provider networks to ensure the delivery of the highest level of care to members

Job Summary

  • Maintain partnerships between the health plan and contracted provider networks to ensure the delivery of the highest level of care to members.
  • Engage with providers to align on network performance opportunities, drive optimal performance in contract incentive performance, 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 delivery of the highest level of care to members.

Salary

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

Skills & Requirements

Must-have

  • Provider network management
  • Client relationship building
  • Issue resolution and triage
  • Performance improvement initiatives
  • Provider education and orientation
  • Value-based care models

Nice-to-have

  • Consultative account management
  • Data analytics for performance
  • Strategic planning for providers
  • Workplace flexibility

Key Requirements

  • Bachelor's degree or equivalent experience
  • Two years managed care or medical group experience
  • Project management experience
  • Proficient in HEDIS/Quality measures
  • Ability to travel locally 4 days a week
  • Reside in California

Work Rights

Not specified

Tailored Resume

Cover Letter