Manager, Provider Relations

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: This role requires working in the Pacific Standard Time zone***

Position Purpose: Responsible for maintaining existing and developing new provider relations, and assisting with contracting activities.

• Lead and manage the provider engagement staff, including workflow oversight, training, and communication standards.
• Serve as the primary liaison between the organization and contracted providers, maintaining strong, collaborative relationships.
• Oversee timely and effective resolution of provider issues and inquiries.
• Develop, implement, and monitor production and quality standards for the provider engagement team.
• Guide the team in preparing and analyzing data to assess and respond to provider needs.
• Participate in provider-facing meetings to support issue resolution, de-escalation, and relationship building.
• Manage large-scale provider outreach initiatives to gather information or enforce regulatory/contractual requirements.
• Perform other duties as assigned to support departmental and organizational goals.

Education/Experience: Bachelor’s degree in related field or equivalent experience. 4+ years of managed care, health delivery system and/or project and staff management experience. Experience with state and federal health programs such as Medicaid and Medicare. Provider relations/contracting experience including solid communication and negotiation skills. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.

Pay Range: $86,000.00 - $154,700.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act