Provider Engagement Account Manager - Remote

Overview

The Provider Engagement Account Manager at Centene plays a crucial role in maintaining partnerships with contracted provider networks to ensure optimal care delivery for members.

In Short

• Maintain partnerships between health plans and provider networks.
• Build and manage client relations for high-quality care delivery.
• Engage with providers to improve network performance.
• Act as the primary contact for provider issues and resolutions.
• Educate providers on policies and procedures.
• Perform data entry for provider-related information changes.
• Conduct provider orientations and ongoing education.
• Drive improvements in quality and cost utilization metrics.
• Complete special projects as assigned.
• Travel locally 4 days a week.

Requirements

• Bachelor’s degree in a related field or equivalent experience.
• Two years of experience in managed care or provider relations.
• Project management experience in a medical group or health plan.
• Proficiency in HEDIS and quality measures.
• Strong problem-solving skills and ability to communicate effectively.
• Ability to work independently and manage multiple projects.

Benefits

• Competitive pay and health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible work schedules (remote, hybrid, field, or office).