Provider Performance Manager

Centene Corporation•Clayton, MO

1d•$56,200 - $101,000•Remote

About The Position

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Requirements

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.
Bachelor's Degree in Business Administration, Finance, Public Health, or a related field required.
3+ years of value-based contracting, managed care, or process and performance improvement experience required.

Nice To Haves

Master's Degree in Business Administration, Finance, Public Health, or a related field preferred.
Project and/or program management experience is highly preferred.

Responsibilities

Collaborates with provider staff to develop and implement operational and clinical process improvements to help providers achieve higher performance
Identify, develop, and establish key performance metrics to measure performance of providers related to their value based contracts.
Identify improvement opportunities based on key performance indicators and develop action plans
Develop and provide training and support to provider staffs to assist them in understanding performance metrics and implement operational and clinical improvements
Promote collaboration across provider groups to enable sharing of best practices and performance improvement opportunities
Resolve various system, process or resource issues to address provider feedback and concerns
Negotiate contracts
Evaluate and monitor providers’ performance standards and financial performance of contracts.
Build collaborative relationships with internal and external customers to facilitate process improvement and improved clinical outcomes
Participate in internal and external customer meetings with providers, VBC team and internal PHCO clinical team
Participate in Joint Operating Committees (JOC's) with VBC providers, VBC team and internal PHCO clinical team
Lead and support clinical/quality discussion on behalf of the internal Care Management team
Work in accordance with corporate team to develop and improve departmental processes and procedures
Performs other duties as assigned
Complies with all policies and standards