Manager, Provider Network Performance

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $87.7k - $157.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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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

• Manage and support the development of network performance analytics • Design and build data solutions that create, maintain, interface with, or transform data for contracting analytics and modeling applications • Oversee development of project applications and determine financial impact of contract negotiations and statewide rate changes • Collaborate across departments to determine analytic reporting needs • Provide training and support on network performance applications and reporting tools • Lead provider profiling and network performance analytic support functions • Support health plans and other stakeholders • Monitor and measure unit cost trends and network improvement opportunities • Support existing application solutions and develop technical enhancements to improve outcomes • Plan, manage, analyze, design, and implement projects, including scheduling deliverables, goals, and milestones

🎯 Requirements

• Bachelor's degree in Business, Economics, Finance, Healthcare or related field, or equivalent experience • 5+ years of contracting, health care reimbursement, provider contract modeling or quality measurement experience • Previous experience as a lead in a functional area, managing cross functional teams on large scale projects, or supervisory experience including hiring, training, assigning work and managing staff performance • Knowledge of Health Care Delivery Systems • Familiarity with SQL, SAS/SPSS, Office Suite, and Visio preferred • Candidates should reside within the state of Georgia due to travel requirements • Ability to work in a field-based role directly with providers and communities across Georgia

🏖️ Benefits

• Competitive pay • Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity

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