Senior Provider Engagement Network Specialist

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🔥 1 hour ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟠 Senior

🛜 Network Engineer / Network Administrator

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Perform day to day duties of assuring that providers are set up accurately in the provider information system • Responsible for multiple state deliverables, network reporting and directories as well as claims payment resolution • Provide support to external provider representatives to resolve provider data issues • Research and effectively respond to provider related issues • Act as the internal and external liaison for provider networking • Maintain positive working relationships with participating physicians and groups • Act as account manager for assigned groups • Responsible for daily administration and operation of the contractual provider relationships

🎯 Requirements

• Bachelor’s degree in healthcare related field or equivalent experience required • 5+ years of provider services experience required • Experience in a managed health care environment • Exposure to provider contracting • Servicing benefits interpretation • Internal operations of provider relations

🏖️ Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work