Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Provider Partnership Associate

Expired Job

Centene Corporation Indianapolis , IN 46218

Posted 4 months 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.



See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Business Consultant Sr ESolutions Provider Digital Self Service Initiative Owner (Ps13206) Required Office Locations Richmond VA Norfolk/Va Beach VA Louisville KY Indianapolis IN Mason OH Atlanta GA And Denver CO

Anthem, Inc.

Posted 7 days ago

VIEW JOBS 12/12/2018 12:00:00 AM 2019-03-12T00:00 Your Talent. Our Vision. At Anthem Blue Cross and Blue Shield, a proud member of the Anthem, Inc. family of companies, it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve. These positions are open to the following Anthem office locations remote work will not be available Richmond, VA; Norfolk/VA Beach, VA; Louisville, KY; Indianapolis, IN; Mason, OH; Atlanta, GA and Denver, CO Looking for an opportunity to help change how we work together as a team, and to create an easier ways for our providers and healthcare professionals to work with Anthem? E-Solutions Provider Digital Self Service is looking to onboard several new team members with a unique talent combination to assume a brand new role, focused on managing large scale solutions across the provider digital self-service ecosystem, or more simply put- Anthem Transformation Initiative Ownership. This role will work very closely with E-Solutions Leadership, E-Solutions Product Management, Availity Product Management, our Provider Digital and EDI IT partners, and other enterprise stakeholders to bring new Provider self-service capabilities to market. Contribute as a senior level member, responsible for the overall delivery of one or more external client facing initiatives that are multi-state, multi-function and multi-year in scope. Partner with internal stakeholders and vendors to ensure that optimal value is being delivered. From a technical product perspective, this role will be accountable for ensuring provider/heath professional/trading partner connectivity needs are defined and implemented across all E-Solutions shared service capabilities spanning across enterprise. (i.e., Commercial, Amerigroup/GBD, and Specialty EDI Gateways/Clearinghouses (X12 and value add transactions), the Availity Provider Portal (secure content, self-service applications), and Provider Direct Connect self-service channels (APIs, Practice Mgt. Systems, etc.)) Function as the bridge between business, product, and technology. Primary duties may include, but are not limited to: * Key additional skills include relationship management, analytical thinking and problem solving, business acumen, leadership skills in initiative owner role within transformation, proven stakeholder management skills, information technology industry knowledge, and financial management. * Directs the development, planning, prioritization, approval, implementation and compliance of on-going external client facing initiatives. * Develops communication documents and training criteria related to external client facing program success measures. * Develops documentation to support meeting presentations and the tracking and reporting of the initiative's success. * Provides leadership to program managers and product owners, and scrum teams. * Initiative Owners typically manage external client facing initiatives that require managing activities and resources of multiple departments or business areas of the organization. * Initiative Owners typically support business strategies through an integrated portfolio of external client facing programs, projects and initiatives. * Experience delivering "value added" healthcare products, services and product lines which utilize the HIPAA compliant transaction sets, government initiatives and HIPAA privacy and security regulations. * Tenured experience resultant from serving in an business project manager, account manager, or shared services type of role, i.e. experience working in a cross functional matrixed environment * Previous implementation experience or provider connectivity experience in Healthcare industry, EDI (X12), and Availity/Provider Portals/secure Digital Products * Experience with Agile methodology or iterative development preferred (epic owner, solution manager, SAFe) * Demonstrated experience with PlanView & Atlassian Suite (Jira, Confluence, & etc.), Agilecraft a plus * Ability to thrive in a fast paced environment and be able to effectively manage shifting and unexpected priorities * Excellent interpersonal, oral and written communications with the ability to develop and maintain effective, positive internal/external working relationships with a diverse group of business and IT constituents * Must be a self-starter with a sense of trustworthiness, diplomacy, and critical thinking ability * Requires a BS/BA degree * 10 + years of in external client facing program management, project management, Business Consultant, complex business processes, strategic and business planning. * 3 + years experience as a Business Consultant with project management skills. * Or any combination of education and experience, which would provide an equivalent background. * MBA preferred. * Advanced Agile or traditional project management certifications preferred such as PMP, CSP, SPC, PSM III (all of which are equivalent experience, and difficulty levels to the PMP). * Experience in working with digital portals, electronic data interchange and B2B APIs with commercial, specialty and government business experience is a plus. * Travel may be required. * Previous work related healthcare experience required. Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem, Inc. Indianapolis IN

Provider Partnership Associate

Expired Job

Centene Corporation