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.
Applicants for this position have the opportunity to work remotely anywhere in the Continental United States.
Position Purpose:Manages third party program relationships with Delegation partners for performance management standards, financial responsibility and proactively implements appropriate business solutions as required. Acts as the critical link between our Delegation partners and internal Departments. As the company's operations representative, this position manages the facilitation from initial launch of services through day-to-day interactions.
Key Responsibilities:Provide direct Account Management responsibilities including scheduling regular meetings with delegated entities, agenda management, documentation, and minutes.Provide and share monthly SLA performance dashboards or reporting with Delegated entity and address any issues in performance of assigned SLA's.Maintain regular communications with leads at Delegated CM entity and work internally to communicate plan needs to Delegated CM entities.Direct, monitor and/or contribute to special projects and other planning initiatives that are highly complex and involve oversight of the Delegated Care Management entities.Ensure that payments are accurate and timely for care management services rendered.Education/Experience:Bachelor's degree in Business Administration, Public Administration or related field or equivalent experience.Five plus years of experience supporting working with Primary Care Providers, Account Management experience working in Healthcare or related field, able to present to executive-level teams at the delegated entities.Pay Range: $84,300.00 - $151,700.00 per year.
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.
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