Manager, Provider Relations

Centene Corporation

2d•$86,000 - $154,700•Remote

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. This is a remote position that requires being in the field roughly 25%. The individual must reside in the greater NYC area. Position Purpose: This position will oversee approximately 10 individual contributors (Provider Engagement Account Managers - PEAM). This role has overall responsibility of a team of NYC Provider Relations staff and will ensure staff is following organizational policies and procedures, managing provider relationships to maintain/improve provider satisfaction, provide assistance in escalating claim issues, participate in provider meetings/JOCs, delegate work, hire / interview staff, train and provide development opportunities for staff, and manage projects and ad hoc requests accordingly. This role will support the Provider Engagement Operating Model (PEOM), an enterprise strategic priority focused on driving provider cost and quality performance and engagement. Manage the staff in provider relations area including work flow, training and communication standards Manage day-to-day provider relations activities and provider relations department Develop, implement and maintain production and quality standards for the provider relations staff Monitor and analyze costs and prepare departmental budget Coordinate all pre-contract activities with providers such as, site visits, credentialing, orientation to contractual requirements, etc.

Requirements

Bachelor’s degree in related field or equivalent experience.
4+ years of managed care, health delivery system and/or project and staff management experience.
Experience with state and federal health programs such as Medicaid and Medicare.
Provider relations/contracting experience including solid communication and negotiation skills.
Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.

Responsibilities

Manage the staff in provider relations area including work flow, training and communication standards
Manage day-to-day provider relations activities and provider relations department
Develop, implement and maintain production and quality standards for the provider relations staff
Monitor and analyze costs and prepare departmental budget
Coordinate all pre-contract activities with providers such as, site visits, credentialing, orientation to contractual requirements, etc.