Supervisor, Provider Network

Job not on LinkedIn

🔥 13 hours ago

🐊 Florida, Missouri, +1 more states – Remote

🐊 Florida – Remote 🏰 Missouri – Remote 🤠 Texas – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• 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 and errors • Receive and respond to escalated provider issues and ensure standards are established, met and maintained • Plan, coordinate and participate in meetings with network account representatives • Conduct orientations and train representatives on health plan policies and procedures • Deliver materials and inquire about contracting with the 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 resolving claims payment and provider systems set-up issues • Coordinate and host health plan-sponsored events for network account representatives • Assist in developing policies and procedures and maintain Provider Manuals

🎯 Requirements

• Bachelor’s degree or equivalent experience • 3+ years of network account management, provider contracting or billing experience in a managed care environment • Knowledge of managed care and state Medicaid program guidelines • Supervisory or lead experience preferred

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plan • 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