Manager, Strategic Provider Partnerships

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.
 

Position Purpose: Support provider and health plan activities related to performance improvement on cost, quality, coding and member outreach and engagement. Responsible for ongoing review of performance reporting and data, interpreting and prioritizing results and utilizing tools and resources to identify performance insights. Lead a team supporting provider performance in value-based agreements, including quality & utilization pay for performance and risk contracts.

• Support provider performance improvement strategy at the plan and provider levels
• Analyze and interpret cost and quality data to interpret performance insights and prioritize provider actions
• Educate providers on the use of tools and interpretation of data and identify opportunities for improvement
• Understand member population and provider variation to effectively support providers with performance improvement
• Provide high-level recommendations to providers regarding opportunities to optimize clinical workflow to increase member outreach and care coordination
• Develop relationships with internal partners and key accounts

Education/Experience: Bachelor’s Degree in Healthcare Administration, Business Administration, or similar field or equivalent experience; Master’s degree preferred. 5+ years of experience in managed care, value-based contracting, or clinical experience.

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