Supervisor, Provider Network
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: Supervise and coordinate the operations of the network accounts department- Supervise the day-to-day workflow of the network accounts function in compliance with health plan, corporate and state policies, procedures and guidelines
- Assist with provider contracting activities to minimize contract implementation issues/errors
- Receive and respond to all escalated provider issues and ensure standards are established, met and maintained
- Plan, coordinate and participate in scheduled and unscheduled meetings with network account representatives to conduct orientations, train on health plan policies and procedures, deliver materials or inquire about contracting with our health plan
- Review and audit network accounts documentation for compliance with health plan and State standards
- Analyze, develop, implement and monitor quality initiatives to achieve healthy outcomes for assigned projects
- Assist in the resolution of claims payment and provider systems set-up issues
- Coordinate and host health plan-sponsored events held for network account representatives
- Assist in the development of policies and procedures and update and maintain the Provider Manuals
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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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
Originally posted on Himalayas
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