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. 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. Position Purpose: Manages third party program relationships with Delegation partners for performance management standards, financial responsibility and proactively implements appropriate business solutions as required. Acts as the critical link between our Delegation partners and internal Departments. As the company's operations representative, this position manages the facilitation from initial launch of services through day-to-day interactions. Provide direct Account Management responsibilities including scheduling regular meetings with delegated entities, agenda management, documentation and minutes. Provide and share monthly SLA performance dashboards or reporting with Delegated entity and address any issues in performance of assigned SLA’s. Maintains regular communications with leads at Delegated CM entity and works internally to communicate plan needs to Delegated CM entities. Directs, monitors and/or contributes to special projects and other planning initiatives that are highly complex and involve oversight of the Delegated Care Management entities. Ensures that payments are accurate and timely for care management services rendered.
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Job Type
Full-time
Career Level
Mid Level