Program Manager (Provider Engagement)

Full Time
Indiana
Posted
Job description
You could be the one who changes everything for our 26 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.

Position Purpose: Partner with health plan provider operations departments, sales, risk adjustment, quality and other health plan departments to enhance strategic provider relationships and develop avenues for communication that enhance member and provider engagement, claim trends and regulatory changes.

Develop and implement project plans to drive solutions for revenue and program deployment while leading a team of internal and external resources
Collaborate with various vendors and internal departments to drive key business initiatives and solutions across the enterprise to meet and exceed goals
Identify and develop enhancements and new functionalities to member and provider websites to increase self-service and provide information to members and providers
Assist with implementation of new applications and reporting to identify trends
Communicate business objectives as well as technical complexities of the program to key stakeholders at various levels of the organization
Create tools for health plans to utilize in provider education to achieve goals for electronic transactions
Support provider groups in driving performance in engagement models resulting in higher quality and lower costs resulting in optimizing provider incentives

Education and Experience: Bachelor's degree in related field or equivalent experience. 5+ years of project management, provider relations, contracting, health care operations, or medical management. Experience in Managed Healthcare or Medicaid/Medicare industry.

Candidates must reside in the state of Indiana to be considered.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.

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