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Centene Corporation
Centene Corporation
ConsultingHealthcareInsurance
Centene Corporation is a healthcare and insurance company focused on government-sponsored coverage and community health. Its services include Medicaid, Medicare, Health Insurance Marketplace plans, and TRICARE support for military communities. Centene combines localized care delivery with partnerships with nonprofit organizations to address the needs of the members it serves. The company also incorporates environmental responsibility and ethical governance into its approach to operating and supporting communities.
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Provider Engagement Account Manager – Northwest Texas

Manage provider relationships and network performance for Centene’s health plan across Northwest Texas. Support quality, cost, utilization, claims resolution, and provider education initiatives.

USUnited StatesTXTexas
$56,200 – $101,000 / year
HybridFull-timeJuniorMiddleEnglish RequiredAccount ManagerSales

Description

  • Sustain effective partnerships between the health plan and contracted provider networks
  • Strengthen client relationships to support high-quality member care
  • Collaborate with providers on network performance opportunities and solutions
  • Provide consultative account management and ensure follow-through on issue resolution
  • Improve contract incentive performance, quality outcomes, and cost utilization
  • Act as the principal contact and liaison for providers and the health plan
  • Route provider concerns to the appropriate internal teams for resolution
  • Address and respond to external issues involving providers
  • Investigate, resolve, and communicate provider claim issues and related changes
  • Enter updates to provider demographic information
  • Educate providers about referrals, claims submission, website functionality, EDI solicitation, and related processes
  • Conduct provider orientations and continuing education
  • Create and maintain provider orientation materials
  • Oversee network performance within the assigned territory
  • Assess provider results and create targeted improvement plans
  • Advance performance in Risk/P4Q, HBR, HEDIS/quality, cost, and utilization
  • Complete special projects and other assigned responsibilities
  • Follow all applicable policies and standards

Requirements

  • Must be authorized to work in the U.S. without requiring employment-based visa sponsorship now or in the future
  • Bachelor’s degree in a related discipline or equivalent experience
  • Two years of experience in managed care, medical groups, provider relations, quality improvement, claims, contracting, utilization management, clinical operations, or project management within a medical group, IPA, or health plan
  • Proficiency with HEDIS and quality measures, cost, and utilization
  • Ability to travel locally four days per week
  • Experience working with provider networks, claims, referrals, EDI, and provider education

Benefits

  • 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 employer committed to diversity

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