Provider Performance Manager

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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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

• Collaborate with healthcare providers to help them achieve high performance with value-based contracts • Collaborate with provider staff to develop and implement operational and clinical process improvements • Identify, develop, and establish key performance metrics for providers related to value-based contracts • Identify improvement opportunities based on key performance indicators and develop action plans • Develop and provide training and support to provider staff on performance metrics and operational and clinical improvements • Promote collaboration across provider groups to share best practices and performance improvement opportunities • Resolve system, process, or resource issues addressing provider feedback and concerns • Build collaborative relationships with internal and external customers to facilitate process improvement and improved clinical outcomes • Participate in meetings with providers, VBC team, and internal PHCO clinical team • Participate in Joint Operating Committees with VBC providers, VBC team, and internal PHCO clinical team • Lead and support clinical/quality discussions on behalf of the internal Care Management team • Work with the corporate team to develop and improve departmental processes and procedures • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Bachelor's Degree in Business Administration, Finance, Public Health, or a related field required • 3+ years of value-based contracting, managed care, or process and performance improvement experience required • Master's Degree preferred • Ability to collaborate with healthcare providers and provider staff • Occasional travel a few times per year may be required

🏖️ Benefits

• Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off • Holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation