Centene Corporation

Compensation

Full Description

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: Manages third party program relationships with Delegation partners for performance management standards, financial responsibility, and proactively implements appropriate business solutions as required. Acts as the critical link between our Delegation partners and internal Departments. As the company's operations representative, this position manages the facilitation from initial launch of services through day-to-day interactions for top tier and high profile vendors. Serve as a key account manager for assigned vendors, ensuring effective communication, compliance with contracts, and optimal performance. Manage vendor utilization including work flows for coordinating services with the Health Plan, and/or Operations Departments/ Enterprise Provide and share monthly SLA performance dashboards and/or reporting with Delegated entity and address issues in performance of assigned SLA’s Develop correction action plans for standards that are not met by the vendor and implement correction action plans when necessary Track, analyze, and report on vendor performance and opportunities for improvement Create and manage vendor scorecard and associated ratings/correction plans Coordinate with Medical Management, Member Services, and Provider Services to educate and communicate expectations, performance and procedures to vendors Schedule and conduct monthly meetings with Delegated entities and document discussions, issues, attendees, and action items Research and resolve claim disputes with vendor, member or provider issues and route to appropriate person(s) for resolution Work closely with internal stakeholders to ensure vendors meet business needs and objectives Receive and respond to provider related database information requests and concerns Ensure operation integrity, including compliance with all policies and procedures for including adherence to state contract and guidelines Lead, monitor and/or contribute to special projects and other planning initiatives that are highly complex and involve oversight of the Delegated Care Management entities. Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree Business Administration, Public Administration or related field or equivalent experience required 7+ years experience supporting working with Primary Care Providers, Account Management experience working in Healthcare or related field required 3+ years experience in vendor management or procurement required Demonstrated ability to cultivate strong relationships with internal stakeholders and external vendors to enhance business outcomes and drive engagement. Able to present to executive-level teams at the delegated entities This position is remote within the United States with up to 10% travel for vendor or team meetings. Pay Range: $86,000.00 - $154,700.00 per year Centene 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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 Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.