Centene Corporation
Regional Provider Engagement Manager
Centene Corporation, Chicago, Illinois, United States, 60290
Overview
Join to apply for the
Regional Provider Engagement Manager
role at
Centene Corporation .
Continue with Google
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.
Location and Travel Candidate must reside in either Atlanta, GA; Austin, TX; or Chicago, IL. Role will require both in-office presence as well as travel throughout the region.
Position Purpose The Regional Provider Engagement Manager will support provider performance and engagement efforts within a specific region that includes multiple local markets. This role will drive strategies and initiatives that support improvements in provider quality, cost-effectiveness, and clinical efficiency.
Responsibilities
Provide hands-on PEOM support and guidance to include in-person training, new hire onboarding, process reinforcement, and rollout of new reports/initiatives for assigned markets (All Levels)
Engage in Monthly/Quarterly PE Regional Leadership Check-ins
Lead new PE implementations within assigned regions (Templates, reporting, etc.)
Drive the execution of key strategic initiatives to support local markets, recommending opportunities for increasing business value
Support the development of strategic operational plans and monitor implementation, including large-scale transformation projects
Collaborate with health plan leaders to facilitate system-wide implementations and ensure continuous improvement from pilot to full-scale implementation
Drive KPIs and interpret data to improve provider performance
Utilize data analysis to identify areas for service level improvements and develop specific actions
Support local market relationships, providing high-touch and responsive servicing of critical providers through shared service resources
Partner with health plans and enterprise Provider Experience team to monitor provider performance of risk arrangements for multiple product lines
Assist in driving development of provider-related corporate initiatives, business plans, strategies, and goals
Analyze industry trends and new technologies to maintain cutting-edge services and capitalize on emerging opportunities
Analyze and interpret facts/results using research methods and techniques
Prepare meaningful, actionable reports and provide routine communication of status via project plans, dashboards, presentations, or other tools as appropriate
Escalate issues, as appropriate, to ensure timely resolution and on-time project delivery
Enhance and leverage analytics, member demographics, and healthcare facility usage patterns to identify efficiency opportunities
Collaborate with operational areas and appropriate vendors on initiatives supporting provider performance and financial efficiencies
Perform special projects as assigned or directed
Performs other duties as assigned
Complies with all policies and standards
Education/Experience
Bachelor's Degree in health care administration, business, or related field or equivalent experience required
Master's Degree preferred
5+ years within provider management or healthcare strategy required
In-depth knowledge of provider engagement, network management, and performance improvement methodologies required
Demonstrated track record of successfully leading cross-functional provider engagement teams and driving results in a dynamic environment required
Pay Range $86,000 - $154,700 per year
Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual\'s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.
Seniority level
Not Applicable
Employment type
Full-time
Job function
Business Development and Sales
Industries
Hospitals and Health Care
Insurance
#J-18808-Ljbffr
Regional Provider Engagement Manager
role at
Centene Corporation .
Continue with Google
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.
Location and Travel Candidate must reside in either Atlanta, GA; Austin, TX; or Chicago, IL. Role will require both in-office presence as well as travel throughout the region.
Position Purpose The Regional Provider Engagement Manager will support provider performance and engagement efforts within a specific region that includes multiple local markets. This role will drive strategies and initiatives that support improvements in provider quality, cost-effectiveness, and clinical efficiency.
Responsibilities
Provide hands-on PEOM support and guidance to include in-person training, new hire onboarding, process reinforcement, and rollout of new reports/initiatives for assigned markets (All Levels)
Engage in Monthly/Quarterly PE Regional Leadership Check-ins
Lead new PE implementations within assigned regions (Templates, reporting, etc.)
Drive the execution of key strategic initiatives to support local markets, recommending opportunities for increasing business value
Support the development of strategic operational plans and monitor implementation, including large-scale transformation projects
Collaborate with health plan leaders to facilitate system-wide implementations and ensure continuous improvement from pilot to full-scale implementation
Drive KPIs and interpret data to improve provider performance
Utilize data analysis to identify areas for service level improvements and develop specific actions
Support local market relationships, providing high-touch and responsive servicing of critical providers through shared service resources
Partner with health plans and enterprise Provider Experience team to monitor provider performance of risk arrangements for multiple product lines
Assist in driving development of provider-related corporate initiatives, business plans, strategies, and goals
Analyze industry trends and new technologies to maintain cutting-edge services and capitalize on emerging opportunities
Analyze and interpret facts/results using research methods and techniques
Prepare meaningful, actionable reports and provide routine communication of status via project plans, dashboards, presentations, or other tools as appropriate
Escalate issues, as appropriate, to ensure timely resolution and on-time project delivery
Enhance and leverage analytics, member demographics, and healthcare facility usage patterns to identify efficiency opportunities
Collaborate with operational areas and appropriate vendors on initiatives supporting provider performance and financial efficiencies
Perform special projects as assigned or directed
Performs other duties as assigned
Complies with all policies and standards
Education/Experience
Bachelor's Degree in health care administration, business, or related field or equivalent experience required
Master's Degree preferred
5+ years within provider management or healthcare strategy required
In-depth knowledge of provider engagement, network management, and performance improvement methodologies required
Demonstrated track record of successfully leading cross-functional provider engagement teams and driving results in a dynamic environment required
Pay Range $86,000 - $154,700 per year
Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual\'s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.
Seniority level
Not Applicable
Employment type
Full-time
Job function
Business Development and Sales
Industries
Hospitals and Health Care
Insurance
#J-18808-Ljbffr