Supervisor, Provider Network

Centene Corporation•Remote-TX, MO

5d•$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

Bachelor’s degree or equivalent experience
3+ years of network account management, provider contracting or billing experience in a managed care environment
Knowledge of managed care and state Medicaid program guidelines

Nice To Haves

Supervisory or lead experience preferred

Responsibilities

Supervise the day-to-day workflow of the network accounts function in compliance with health plan, corporate and state policies, procedures and guidelines
Assist with provider contracting activities to minimize contract implementation issues/errors
Receive and respond to all escalated provider issues and ensure standards are established, met and maintained
Plan, coordinate and participate in scheduled and unscheduled meetings with network account representatives to conduct orientations, train on health plan policies and procedures, deliver materials or inquire about contracting with our health plan
Review and audit network accounts documentation for compliance with health plan and State standards
Analyze, develop, implement and monitor quality initiatives to achieve healthy outcomes for assigned projects
Assist in the resolution of claims payment and provider systems set-up issues
Coordinate and host health plan-sponsored events held for network account representatives
Assist in the development of policies and procedures and update and maintain the Provider Manuals