Manager, Provider Relations

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.
 

This is a remote position that requires being in the field roughly 25%. The individual must reside in the greater NYC area.

Position Purpose: This position will oversee approximately 10 individual contributors (Provider Engagement Account Managers - PEAM). This role has overall responsibility of a team of NYC Provider Relations staff and will ensure staff is following organizational policies and procedures, managing provider relationships to maintain/improve provider satisfaction, provide assistance in escalating claim issues, participate in provider meetings/JOCs, delegate work, hire / interview staff, train and provide development opportunities for staff, and manage projects and ad hoc requests accordingly. This role will support the Provider Engagement Operating Model (PEOM), an enterprise strategic priority focused on driving provider cost and quality performance and engagement.

• Manage the staff in provider relations area including work flow, training and communication standards
• Manage day-to-day provider relations activities and provider relations department
• Develop, implement and maintain production and quality standards for the provider relations staff
• Monitor and analyze costs and prepare departmental budget
• Coordinate all pre-contract activities with providers such as, site visits, credentialing, orientation to contractual requirements, etc.

Education/Experience: Bachelor’s degree in related field or equivalent experience. 4+ years of managed care, health delivery system and/or project and staff management experience. Experience with state and federal health programs such as Medicaid and Medicare. Provider relations/contracting experience including solid communication and negotiation skills. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.

Pay Range: $86,000.00 - $154,700.00 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