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.
***NOTE: For this role, we are seeking candidates who live in Illinois, Indiana or Wisconsin***
Position Purpose: Establish and monitor Key Performance Indicators (KPIs). Responsible for timely completion of provider data changes as well as the maintenance, integrity and validity of provider data and provider data policies, procedures and work processes.
- Manage and report on provider data integrity, accuracy, and trends and provide recommendations
- Oversee the resolution of claims payment and provider set-up issues
- Create and maintain KPIs and goals for provider data management team
- Plan, coordinate and participate in scheduled and unscheduled meetings with providers to conduct orientations, train providers on health plan policies and procedures, deliver materials or inquire about contracting with our health plan
- Report team performance metrics identifying and implementing improvements to increase and maintain productivity and effectiveness
- Collaborate with various cross-functional departments on complex and escalated issues to identify, report on and implement solutions
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience: Bachelor’s degree in related field or equivalent experience. 3+ years of contracting or provider data management experience in a managed care or insurance environment. Supervisor/lead experience preferred.
Pay Range: $54,000.00 - $97,100.00 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. 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
What We Do
Centene provides healthcare solutions to individuals across the United States with more than 23 million members nationwide.
