Provider Engagement Specialist

1 week ago


Dover, Delaware, United States Centene Corporation Full time
Job Summary

We are seeking a skilled Provider Engagement Specialist to join our team at Centene Corporation. As a key member of our healthcare network, you will play a critical role in building and maintaining strong relationships with our provider partners.

Key Responsibilities
  • Act as a liaison between our health plan and Tier II providers, facilitating communication and resolving issues in a timely manner.
  • Manage network performance for assigned territories, driving provider performance improvement in areas such as risk, quality, and cost.
  • Evaluate provider performance and develop strategic plans to improve outcomes.
  • Perform detailed analysis of health benefit ratios and create reports for Joint Operating Committee meetings.
  • Develop proficiency in value-based performance tools and educate providers on their use and interpretation.
  • Coach new and less experienced external representatives.
  • Complete special projects as assigned.
Requirements
  • Bachelor's degree in a related field or equivalent experience.
  • Three years of provider relations, claims/reimbursement, or contracting experience.
  • Knowledge of healthcare, managed care, Medicare, or Medicaid.
  • Ability to travel locally 4 days a week.
About Centene Corporation

Centene Corporation is a diversified national organization transforming the health of our communities, one person at a time. We offer a comprehensive benefits package, including competitive pay, health insurance, 401K, and stock purchase plans. Our company values diversity and is an equal opportunity employer.



  • Dover, Delaware, United States Centene Corporation Full time

    {"title": "Provider Engagement Specialist", "content": "Job SummaryCentene Corporation is seeking a skilled Provider Engagement Specialist to join our team. As a key member of our healthcare network, you will play a critical role in building and maintaining strong relationships with our provider partners.Key ResponsibilitiesAct as a liaison between our...


  • Dover, Delaware, United States YMCA of Delaware Full time

    Our Commitment:Facilitate pathways to success for every young individual we support.Enhance the health and wellbeing of families and individuals within our community.Foster community unity and inspire acts of service.Advantages & Benefits:12% Employer-Funded Retirement Plan upon meeting eligibility criteria.Opportunities for professional development and...


  • Dover, Delaware, United States Delaware State University Full time

    Job SummaryThe Associate Director of Student Engagement and Leadership Development is a key member of the Office of Student Experience (OSE) team, responsible for providing a shared vision for student engagement on campus and within the community. This role requires a student-centered leader who can develop and implement comprehensive leadership education,...


  • Dover, Delaware, United States Goodwill of Delaware and Delaware County Full time

    Job OverviewPay Rate: $18 per hourRESPONSIBILITIESDesigning and executing outreach initiatives, special programs, and community activities.Establishing and maintaining ongoing outreach efforts and collaborations with community partners, including businesses, non-profits, government agencies, religious organizations, and educational institutions.Creating and...


  • Dover, Delaware, United States Delaware State University Full time

    Job Title: Associate Director of Student Engagement and Leadership DevelopmentThe Associate Director of Student Engagement and Leadership Development is a key member of the Office of Student Experience (OSE) team, responsible for providing a shared vision for student engagement on campus and within the community.Key Responsibilities:Develop and implement...


  • Dover, Delaware, United States Delaware State University Full time

    Job SummaryThe Associate Director of Student Engagement and Leadership Development is a key leadership position at Delaware State University, responsible for providing a shared vision for student engagement on campus and within the community.Key ResponsibilitiesDevelop and implement comprehensive leadership education, training, and development programs for...


  • Dover, Delaware, United States GPM Investments Full time

    Customer Engagement Specialist:Provide outstanding service to customers during busy afternoon and evening shifts.Ensure a high level of customer satisfaction by fostering a welcoming atmosphere for all shoppers.Store Presentation Coordinator:Oversee the visual appeal and inventory management of the retail space.Collaborate with colleagues to uphold an...


  • Dover, Delaware, United States GPM Investments Full time

    Evening Customer Engagement Specialist:Provide outstanding customer support during busy evening hoursEnsure a memorable shopping experience by prioritizing customer satisfactionStore Presentation Coordinator:Oversee the visual appeal and stock management of the retail spaceCollaborate with colleagues to uphold an organized and inviting shopping atmosphere


  • Dover, Delaware, United States Goodwill of Delaware and Delaware County Full time

    Job OverviewThe Accounting Specialist plays a crucial role in providing essential fiscal support and technical assistance in various accounting functions. This position encompasses a range of responsibilities including bank examinations, tax collections, cash management, revenue tracking, program funding, auditing, and financial analysis.Key...


  • Dover, Delaware, United States Weatherby Healthcare Full time

    Join the Locum Tenens ExperienceEmbrace the locum tenens lifestyle with the assurance that Weatherby Healthcare is dedicated to supporting you throughout your journey.Key Responsibilities:Participate in 12-hour and 24-hour shifts, providing essential medical care.Engage in in-house call shifts to ensure continuous patient support.Handle a high volume of...


  • Dover, Delaware, United States Zufall Health Full time

    Position Overview The Customer Service Specialist utilizes their expertise in health center operations and protocols to assist patients with appointment scheduling, addressing concerns, and responding to various inquiries. They engage with patients and the public, actively listening to their needs and providing relevant information and potential...


  • Dover, Delaware, United States Wyndy LLC Full time

    About the RoleWe are seeking a reliable and caring individual to provide childcare services for one child in Dover, DE. The ideal candidate will have experience working with children and possess excellent communication skills.ResponsibilitiesEnsure the child's safety and well-being at all timesEngage in playtime activities and provide a nurturing...


  • Dover, Delaware, United States Zufall Health Full time

    Position Overview The Customer Service Specialist utilizes their expertise in health center offerings and protocols to assist patients with appointment scheduling, addressing concerns, and handling various inquiries. They engage with patients and the public, actively listening to understand their needs while providing information and potential solutions....


  • Dover, Delaware, United States Acro Service Corp Full time

    Position OverviewAs a Recovery Support Specialist, you will play a vital role in assisting individuals as they embark on their journey towards recovery and mental health treatment. Your primary responsibilities will include:Key Responsibilities:1. Delivering immediate assistance and guidance to clients entering recovery.2. Offering direct peer support...


  • Dover, Delaware, United States VitalCore Health Strategies Full time

    VitalCore Health Strategies (VCHS), a prominent leader in Correctional Health Care, is seeking a Regional Talent Acquisition Specialist. This role is essential for our operations and will be based at our Delaware Regional Office.At VCHS, we are driven by our commitment to making a difference rather than just profit. Employment with us offers:Competitive...


  • Dover, Delaware, United States Wyndy LLC Full time

    About the RoleWe are seeking a reliable and caring individual to provide childcare services for one child in Dover, DE.ResponsibilitiesEnsure the child's safety and well-being at all timesEngage in playtime activities that promote the child's cognitive and physical developmentPrepare light meals and snacks for the childEstablish a flexible schedule that...


  • Dover, Delaware, United States Humana Full time

    Join a dedicated community focused on prioritizing healthThe Network Operations Coordinator 3 is responsible for maintaining relationships with providers to enhance customer service through effective data management and collection of provider claims information essential for operational services. This role involves executing advanced administrative,...


  • Dover, Delaware, United States ProCare Therapy Full time

    Position OverviewWe are currently seeking a dedicated Educational Assessment Specialist to join our team. This role is essential for supporting students' educational needs through comprehensive evaluations and collaboration with educational staff.Key Responsibilities:Full-time position37.5 hours per weekWork with students from K-12th gradePrimary...


  • Dover, Delaware, United States Delaware Technical & Community College Full time

    Position Overview Job Title Instructional Technology Specialist Position Type Regular Full-Time Work Location Multiple Locations Position SummaryThe role of the Instructional Technology Specialist is pivotal in enhancing the educational experience through the effective integration of technology in teaching and learning environments.Key ResponsibilitiesThe...


  • Dover, Delaware, United States Goodwill of Delaware and Delaware County Full time

    Job OverviewThe Accounting Specialist plays a crucial role in delivering comprehensive accounting assistance and technical support across various financial operations. This position encompasses a wide range of responsibilities, including bank and tax examinations, cash management, revenue tracking, program funding, auditing, and financial analysis.Key...