Provider Engagement Account Manager - Risk & Quality

Job description

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. ***NOTE: For this role, due to travel requirements, we are seeking candidates who live in Georgia, specifically, Bartow, Cherokee, Floyd or Pickens counties*** Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. Education/Experience: Bachelor’s degree in related field or equivalent experience. Two years of provider engagement account management experience. Project management experience at a medical group, IPA, or health plan setting. Proficient in HEDIS/Quality measures, cost (MLR) and utiliza...