Centene Corporation
Centene Corporation
Centene Corporation ir veselības aprūpes un apdrošināšanas uzņēmums, kas koncentrējas uz valsts atbalstītu segumu un kopienu veselību. Tā pakalpojumi ietver Medicaid, Medicare, Health Insurance Marketplace plānus un TRICARE atbalstu militārajām kopienām. Centene apvieno aprūpes nodrošināšanu vietējā līmenī ar partnerību ar bezpeļņas organizācijām, lai apmierinātu to biedru vajadzības, kuriem tā sniedz pakalpojumus. Uzņēmums savā darbībā un kopienu atbalstā ņem vērā arī vides atbildību un ētisku pārvaldību.

Provider Engagement Account Manager – Florida

Build and support Centene’s contracted provider network in Florida. Help providers improve quality, cost, utilization, claims resolution, and network performance.

Apraksts

  • Maintain relationships between the health plan and contracted provider networks
  • Build client relationships that support high-quality care for members
  • Work with providers to identify network performance opportunities and solutions
  • Manage accounts consultatively and take responsibility for resolving issues
  • Improve contract incentive results, quality, cost, and utilization
  • Act as providers’ main contact and connect them with the health plan
  • Route provider issues to the appropriate internal teams
  • Address issues raised by external providers
  • Investigate and resolve provider claim issues, and communicate related changes
  • Update provider demographic information
  • Guide providers on referrals, claims submission, website use, EDI solicitation, and related topics
  • Lead provider orientations and ongoing education, and create or update orientation materials
  • Oversee network performance in an assigned territory through consultative account management
  • Assess provider performance and create targeted improvement plans
  • Support provider improvement in Risk/P4Q, HBR, HEDIS and quality, cost, and utilization
  • Complete special projects and other assigned work
  • Follow applicable policies and standards

Prasības

  • Applicants must live in one of these Florida counties: Indian River, Martin, Okeechobee, Palm Beach, or St. Lucie
  • Bachelor’s degree in a related field or equivalent experience
  • Two years of experience in managed care, a medical group, provider relations, quality improvement, claims, contracting, utilization management, or clinical operations
  • Project management experience in a medical group, IPA, or health plan setting
  • Proficiency in HEDIS and quality measures, cost, and utilization
  • Ability to travel locally four days per week

Priekšrocības

  • Competitive pay
  • Health insurance
  • 401(k)
  • Stock purchase plans
  • Tuition reimbursement
  • Paid time off and holidays
  • Flexible remote, hybrid, field, or office work schedules
  • Additional incentives may be included in total compensation

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