Provider Partnership Associate

Centene Corporation Springfield , MO 65802

Posted 3 weeks ago

Position Purpose: Perform initial health plan orientation and conduct ongoing educational outreach with a focus on improving quality and financial outcomes within provider network

Conduct initial provider orientations as well as ongoing educational outreach

Educate providers regarding policies and procedures related to referrals, claims submission, web site education, Electronic Health Records, Health Information Exchange, and Electronic Data Interface

Engage providers on Patient Centered Medical Home initiatives

Perform detailed HBR (Health Benefits Ratio) analysis and create reports for provider Review provider performance by both quantitative metrics and qualitative factors

Create and communicate milestone documents, dashboards and success metrics

Act as a liaison between the provider and the health plan ensuring a coordinated effort in improving financial and quality performance

Provide status updates for providers regarding incentive agreements

Conduct site visits when required and other Contracting duties as requested

Ability to travel

Education/Experience: Bachelor's Degree in related field or equivalent experience. 3 years of combined managed healthcare and provider reimbursement experience.

Advanced knowledge of Microsoft Excel. Clinical or health information management (HIM) experience preferred.

Current state driver's license.

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.

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Provider Partnership Associate

Centene Corporation