Centene Corporation
Join to apply for the
Provider Partnership Associate
role at
Centene Corporation 23 hours ago Be among the first 25 applicants Join to apply for the
Provider Partnership Associate
role at
Centene Corporation Get AI-powered advice on this job and more exclusive features. 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.
Position Purpose
Perform initial health plan orientation and conduct ongoing educational outreach with a focus on improving quality and financial outcomes within provider network
Conduct initial provider orientations as well as ongoing educational outreach Educate providers regarding policies and procedures related to referrals, claims submission, web site education, Electronic Health Records, Health Information Exchange, and Electronic Data Interface Engage providers on Patient Centered Medical Home initiatives Perform detailed HBR (Health Benefits Ratio) analysis and create reports for provider Review provider performance by both quantitative metrics and qualitative factors Create and communicate milestone documents, dashboards and success metrics Act as a liaison between the provider and the health plan ensuring a coordinated effort in improving financial and quality performance Provide status updates for providers regarding incentive agreements Conduct site visits when required and other Contracting duties as requested Ability to travel Performs other duties as assigned Complies with all policies and standards
Education/Experience
Bachelor’s Degree in related field or equivalent experience. 3 + years of combined managed healthcare and provider reimbursement experience. Clinical or health information management (HIM) experience preferred. Current state driver’s license.
For Fidelis Care only
Must have valid driver license, personal vehicle and ability to travel.Pay Range $55,100.00 - $99,000.00 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 the LA County Ordinance and the California Fair Chance Act Seniority level
Seniority level Not Applicable Employment type
Employment type Full-time Job function
Job function Other Industries Hospitals and Health Care and Insurance Referrals increase your chances of interviewing at Centene Corporation by 2x Get notified about new Associate jobs in
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Provider Partnership Associate
role at
Centene Corporation 23 hours ago Be among the first 25 applicants Join to apply for the
Provider Partnership Associate
role at
Centene Corporation Get AI-powered advice on this job and more exclusive features. 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.
Position Purpose
Perform initial health plan orientation and conduct ongoing educational outreach with a focus on improving quality and financial outcomes within provider network
Conduct initial provider orientations as well as ongoing educational outreach Educate providers regarding policies and procedures related to referrals, claims submission, web site education, Electronic Health Records, Health Information Exchange, and Electronic Data Interface Engage providers on Patient Centered Medical Home initiatives Perform detailed HBR (Health Benefits Ratio) analysis and create reports for provider Review provider performance by both quantitative metrics and qualitative factors Create and communicate milestone documents, dashboards and success metrics Act as a liaison between the provider and the health plan ensuring a coordinated effort in improving financial and quality performance Provide status updates for providers regarding incentive agreements Conduct site visits when required and other Contracting duties as requested Ability to travel Performs other duties as assigned Complies with all policies and standards
Education/Experience
Bachelor’s Degree in related field or equivalent experience. 3 + years of combined managed healthcare and provider reimbursement experience. Clinical or health information management (HIM) experience preferred. Current state driver’s license.
For Fidelis Care only
Must have valid driver license, personal vehicle and ability to travel.Pay Range $55,100.00 - $99,000.00 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 the LA County Ordinance and the California Fair Chance Act Seniority level
Seniority level Not Applicable Employment type
Employment type Full-time Job function
Job function Other Industries Hospitals and Health Care and Insurance Referrals increase your chances of interviewing at Centene Corporation by 2x Get notified about new Associate jobs in
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New York, NY $100,000.00-$115,000.00 1 month ago E-Commerce Customer Service Associate (Seasonal)
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