Centene Corporation
Centene Corporation
Centene Corporation एक स्वास्थ्य सेवा और बीमा कंपनी है, जो सरकार द्वारा प्रायोजित कवरेज और सामुदायिक स्वास्थ्य पर केंद्रित है। इसकी सेवाओं में Medicaid, Medicare, Health Insurance Marketplace योजनाएँ और सैन्य समुदायों के लिए TRICARE सहायता शामिल हैं। Centene अपने सदस्यों की आवश्यकताओं को पूरा करने के लिए स्थानीय स्तर पर स्वास्थ्य सेवाएँ उपलब्ध कराने को गैर-लाभकारी संगठनों के साथ साझेदारियों से जोड़ती है। कंपनी अपने संचालन और समुदायों के समर्थन के दृष्टिकोण में पर्यावरणीय जिम्मेदारी और नैतिक शासन को भी शामिल करती है।

Provider Engagement Account Manager - Kansas Remote

Manage Centene’s provider partnerships across Kansas while improving network quality, cost utilization, claims resolution, and performance outcomes.

विवरण

  • Manage relationships between the health plan and contracted provider networks
  • Develop client relationships that support high-quality member care
  • Work with providers to identify network performance opportunities and solutions
  • Deliver consultative account management and oversee issue resolution
  • Improve contract incentive performance, quality, and cost utilization
  • Act as the primary provider contact and health-plan liaison
  • Route provider concerns to internal teams for resolution
  • Address issues raised by external providers
  • Investigate, resolve, and communicate provider claim issues and updates
  • Record changes to provider demographic information
  • Educate providers about referrals, claims submission, website functions, EDI solicitation, and related processes
  • Lead provider orientations and continuing education
  • Create and maintain orientation materials
  • Oversee network performance within the assigned territory
  • Assess provider performance and create strategic improvement plans
  • Advance Risk/P4Q, Health Benefit Ratio, HEDIS/quality, cost, and utilization results
  • Complete special projects and other assigned responsibilities
  • Follow applicable policies and standards

आवश्यकताएँ

  • Bachelor’s degree in a related field or equivalent experience
  • Two years of experience in managed care or medical groups, provider relations, quality improvement, claims, contracting utilization management, or clinical operations
  • Project management experience in a medical group, IPA, or health-plan environment
  • Proficiency with HEDIS and quality measures, cost, and utilization
  • Preferred knowledge of Kansas HCBS and LTSS waiver programs, including eligibility, service delivery, and regulatory requirements
  • Residence in Kansas City, Kansas is required
  • Willingness to travel locally four days per week

लाभ

  • Competitive compensation
  • Health insurance
  • 401(k) plan
  • Employee stock purchase plans
  • Tuition reimbursement
  • Paid time off and holidays
  • Flexible remote, hybrid, field, or office work arrangements
  • Additional incentives may form part of total compensation
  • Equal opportunity and diversity commitment

संबंधित नौकरियाँ

SPERTON - Where Great People Meet

Sales Executive, Elevators and Car Parking Systems

SPERTON - Where Great People Meet
51 – 200 कर्मचारी

Drive elevator and car parking system sales across Mumbai’s Western Region. Build client and dealer relationships, and manage deals from initial enquiry through project execution.

खोलें
Salonkee

Sales Representative, Salon Software — Göttingen

Salonkee

Grow Salonkee’s salon software business across Göttingen through local prospecting, product demonstrations, and end-to-end sales. Build relationships with salon owners and guide them from first contact through to closing.

खोलें
Salonkee

Hybrid Sales Representative, Lindau

Salonkee

Grow Salonkee’s salon software business across Lindau and Friedrichshafen through outreach, product demonstrations, and end-to-end sales. Build relationships with local salon owners and manage each opportunity through to closing.

खोलें
Salonkee

Sales Representative in Göttingen (Hybrid)

Salonkee

Grow Salonkee’s salon software business in Göttingen by building local salon relationships. The role spans cold outreach, product demonstrations, and managing sales from first contact through closing.

खोलें
Salonkee

Sales Representative, New Markets

Salonkee

Grow Salonkee’s salon software business in Braunschweig by building relationships with local salon owners. Manage outbound prospecting, product demonstrations, and sales from first contact through closing.

खोलें
Salonkee

Sales Representative, Career Changer – Salonkee, Lindau

Salonkee

Help Salonkee expand its salon management software business across the Lindau and Friedrichshafen region. Find and meet salon owners, demonstrate the product, and manage sales from first contact to close.

खोलें
Salonkee

Salonkee Sales Representative – Wolfsburg

Salonkee

Grow Salonkee’s salon software business across the Wolfsburg region by building relationships with local salons. Demonstrate the product and guide prospects through the sales process.

खोलें
Salonkee

Sales Representative, Wolfsburg

Salonkee

Grow Salonkee’s salon software business in Wolfsburg through local outbound sales, product demonstrations, and full-cycle sales management.

खोलें
PRIME AGENCY M&M

Remote Marketing Intern (University Student)

PRIME AGENCY M&M

Support social media, branding and event campaigns at Berlin boutique agency PRIME AGENCY M&M while gaining practical experience alongside university studies.

खोलें
Deep Blue Recruitment

Senior Privacy Counsel – GDPR and AI

Deep Blue Recruitment

Advise an international technology company on GDPR, AI, and commercial data protection. Strengthen privacy governance, agreements, and risk management across Germany and international markets.

खोलें