This role serves as the primary liaison between Centene's health plan and contracted provider networks to ensure high-quality care delivery
Job Summary
This role serves as the primary liaison between Centene's health plan and contracted provider networks to ensure high-quality care delivery.
The position focuses on driving optimal performance in risk, quality, cost utilization, and contract incentive metrics through consultative engagement.
Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, and flexible work schedules.
Matching Summary
This role serves as the primary liaison between Centene's health plan and contracted provider networks to ensure high-quality care delivery.
Salary
Base: $56,200.00 - $101,000.00 per year; Bonus/Equity: Not specified; Benefits: Health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off
Skills & Requirements
Must-have
Two years provider engagement experience
HEDIS quality measures proficiency
Cost utilization and MLR analysis
Project management in health plan setting
Local travel capability 4 days weekly
Nice-to-have
Consultative account management approach
Data analytics for performance tracking
Strategic planning for provider improvement
Experience with risk-based payment models
Key Requirements
Bachelor's degree in related field
Two years of provider engagement account management experience
Project management experience at medical group or IPA