Director, Provider Relations

Centene Management Company • Phoenix, AZ

8h

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.

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 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.

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• a flexible approach to work with remote, hybrid, field or office work schedules

What This Job Offers

• Job Type: Full-time
• Career Level: Director