This role involves developing strategic partnerships between the health plan and contracted provider networks to improve community health outcomes
Job Summary
This role involves developing strategic partnerships between the health plan and contracted provider networks to improve community health outcomes.
The position requires driving optimal performance in contract incentives, quality metrics like HEDIS, and cost utilization through consultative account management.
Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, and flexible work schedules.
Matching Summary
This role involves developing strategic partnerships between the health plan and contracted provider networks to improve community health outcomes.
Salary
Base: $70,100.00 - $126,200.00 per year; Bonus/Equity: Not specified; Benefits: Health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off
Skills & Requirements
Must-have
Managed care or medical group experience
HEDIS quality measures proficiency
Cost and utilization analysis skills
Provider relations and network management
Data analytics for performance tracking
Nice-to-have
Project management in health plan setting
Strong presentation and communication skills
Experience with value-based care models
Ability to coach new external reps
Proficiency in EDI and web tools
Key Requirements
Bachelor's degree in related field
Three or more years of managed care experience
Residence in Washington near King County
Work Rights
Must reside in Washington (close proximity to King County)