Centene Corporation
Transforming the health of the communities we serve, one person at a time.
VBC Performance Manager
Location
New York
Posted
17 days ago
Salary
$70.1K - $126.2K / year
Bachelor Degree3 yrs expEnglish
Job Description
• Develop strategic partnerships between the health plan and contracted provider networks
• Engage with providers to align on network performance opportunities and solutions
• Drive optimal performance in contract incentive performance, quality, and cost utilization
• Participate in the development of network management strategies
• Serve as primary contact for providers and act as liaison ensuring coordinated effort in improving performance
• Investigate, resolve and communicate provider claim issues and changes
• Perform provider orientations and ongoing education
• Evaluate provider performance and develop strategic plans for improvement
• Present detailed HBR analysis and create reports for Joint Operating Committee meetings
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, or 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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