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Centene Corporation logo
Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Performance Manager

ManagerManagerOtherRemoteSeniorTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

New York

Posted

149 days ago

Salary

$70.1K - $126.2K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

Performance Manager

Centene Corporation

• Develop strategic partnerships between the health plan and the contracted provider networks • Engage with providers to align on network performance opportunities • Consultative account management and accountability for issue resolution • Drive optimal performance in contract incentive performance, quality, and cost utilization • Participate in the development of network management strategies • Assist in the strategic implementation of new initiatives for performance improvement • Serve as primary contact for providers • Act as a liaison between the providers and the health plan • Identify and deliver solutions to providers concerns and issues as needed • Investigate, resolve and communicate provider claim issues • Engage with and educate providers regarding policies and procedures • Perform provider orientations and ongoing provider education • Manages Network performance for assigned territory • Evaluates provider performance and develops strategic plan to improve performance • Drives provider performance improvement in various areas • Present detailed HBR analysis and create reports for Joint Operating Committee meetings • Develop proficiency in tools and educate providers on use of tools

Job Requirements

  • Bachelor’s degree in related field or equivalent experience
  • Three or more years of managed care or medical group experience
  • provider relations
  • quality improvement
  • claims
  • contracting
  • utilization management
  • clinical operations
  • Project management experience at a medical group, IPA, or health plan setting
  • Strong communication and presentation skills
  • Proficient in HEDIS/Quality measures, cost and utilization.

Benefits

  • competitive pay
  • health insurance
  • 401K and stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules

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