The Provider Engagement Account Manager maintains and strengthens partnerships between the health plan and contracted healthcare providers to ensure high-quality care delivery. This role involves managing network performance, resolving provider issues, educating providers on policies and procedures, and driving improvements in quality, cost, and utilization metrics. The position requires consultative account management, strategic planning, and regular local travel to support provider relations and achieve network performance goals.
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Candidates must reside in Hawaii
Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. 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 with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
provider engagement, account management, health plan, network performance, quality improvement, claims resolution, consultative management, provider relations, HEDIS, cost utilization
...enduring. With a commitment to responsible sourcing and thoughtful design, we create timeless pieces meant to be worn daily, passed down,... ...design experience, preferably in a luxury or lifestyle brand setting ~ Advanced knowledge of Klaviyo with experience designing,...
...POSITION INFORMATIONCREW MEMBERAPPLYSHARE - 14-15 Year Olds up to $10 - 16-17 Year Olds up to $11.50 - 18 and Older up to $15.00 - Blue Cross Blue Shield Medical Vision and Dental available for full time employees after 90 days - As a Culvers True B Crew Member, Crew,...
Bulgari seeks a Temporary Customer Service Representative for its Coral Gables office. This role involves supporting the LATAM Customer Service team by managing shipment and order processes, collaborating with internal departments, and ensuring customer satisfaction. Fluency...
...remote team. This position offers the flexibility to work from home while contributing to our data management and analysis operations... ...potential within the organization Work-life balance with a home-based position Work Schedule Full-time position: 40 hours per...
Description: Resource performs as a charge nurse, staff nurse or an assessment coordinator providing nursing care and treatment services in a Commonwealth facility for individuals with a mental or physical injury or illness, dysfunctional behavior and/or a developmental...