Provider Performance Manager
Remote-IL, United States
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.
Position Purpose: Collaborate with healthcare providers to help them achieve high performance with their value based contracts.
- Collaborates with provider staff to develop and implement operational and clinical process improvements to help providers achieve higher performance
- Identify, develop, and establish key performance metrics to measure performance of providers related to their value based contracts.
- Identify improvement opportunities based on key performance indicators and develop action plans
- Develop and provide training and support to provider staffs to assist them in understanding performance metrics and implement operational and clinical improvements
- Promote collaboration across provider groups to enable sharing of best practices and performance improvement opportunities
- Resolve various system, process or resource issues to address provider feedback and concerns
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience: Bachelor’s degree in Health Sciences, Business, Nursing, or Medicine. 3+ years of health care experience, including contract management and/or process improvement.
Value-based contracting experience is ideal but not required.
Master’s in Nursing, Physician Assistant degree or graduate degrees in the fields of Pharmacy, Social Work, Counseling or Clinical Psychology preferred.
This team is ideally looking to hire someone in the Central Time Zone or within an hour difference. This is a remote role, but candidates outside of this region will need to adjust their work schedule to align with Central Time Zone business hours.
Pay Range: $55,100.00 - $99,000.00 per yearCentene 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
Job Profile
Holidays Must align with central time zone hours Remote role
Benefits/Perks401(k) Competitive benefits Competitive pay Comprehensive benefits Comprehensive benefits package Flexible approach Flexible work schedules Health insurance Holidays Paid Time Off Stock purchase Stock purchase plans Tuition reimbursement Workplace flexibility
Tasks- Collaborate with healthcare providers
- Collaborate with providers
- Collaboration
- Develop action plans
- Develop performance metrics
- Identify improvement opportunities
- Process Improvement
- Provide training
- Resolve system issues
Access Benefits Best Practices Business Clinical Collaboration Contracting Contract management Education Health care Healthcare Health Insurance Insurance Management Metrics Nursing Performance Improvement Performance Metrics Pharmacy Process Improvement Psychology Social Work Training Value-based contracting
Experience3 years
EducationAS Bachelor's degree Business Clinical psychology Education Graduate degree in clinical psychology Graduate degree in counseling Graduate degree in pharmacy Graduate degree in social work Healthcare Health Care Insurance Management Master's degree Nursing Physician assistant degree Psychology Social Work
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9