Centene Corporation

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

VBC Performance Manager

ManagerManagerFull TimeRemoteTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

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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