Director, Provider Relations

Centene Corporation•Phoenix, AZ

23h

About The Position

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. Position Purpose: Oversee the Provider Relations department including negotiations and administering organization policies and procedures. Oversee the Provider Relations department to ensure in compliance with company policies and standards, government laws, regulations and contracting standards. Develop, implement and monitor policies and procedures. Develop tactical plans to align strategies and technologies with future needs. Effectively manage budget and all resources for short and long-term needs. Prepare and analyze reports on departmental and organizational activities and recommend improvements. Ensure timely Provider set up processing, auditing and distribution of Provider Relations data management. Create effective organizational structure and develop staff skills and competencies. Develop and oversee the training program for the Provider Relations Department.

Requirements

Bachelor’s degree in a Business Administration, Healthcare Administration, related field or equivalent experience.
7+ years of provider relations or contracting experience in a managed care or insurance environment, preferably in Medicare or Medicaid.
Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.
Valid driver's license.

Responsibilities

Oversee the Provider Relations department including negotiations and administering organization policies and procedures.
Oversee the Provider Relations department to ensure in compliance with company policies and standards, government laws, regulations and contracting standards.
Develop, implement and monitor policies and procedures.
Develop tactical plans to align strategies and technologies with future needs.
Effectively manage budget and all resources for short and long-term needs.
Prepare and analyze reports on departmental and organizational activities and recommend improvements.
Ensure timely Provider set up processing, auditing and distribution of Provider Relations data management.
Create effective organizational structure and develop staff skills and competencies.
Develop and oversee the training program for the Provider Relations Department.