Senior Manager, Provider Network Performance Lead
4 weeks ago
Centene is revolutionizing the healthcare industry, and we're looking for a Senior Manager, Provider Network Performance to join our team. As a key member of our organization, you'll have the opportunity to make a meaningful impact on the lives of our members.
Position Purpose:Lead the development of network performance analytics, designing and building solutions that create, maintain, interface, or transform data to support business needs. Oversee project applications, determine financial impact of contract negotiations and statewide rate changes, and develop enhanced analytic and reporting capabilities.
Key Responsibilities:- Develop and implement projects, including scheduling deliverables, goals, and milestones
- Collaborate interdepartmentally to determine analytic reporting needs and provide training and support on network performance applications and reporting tools
- Lead provider profiling and network performance analytic support functions and provide support to health plans and other stakeholders
- Oversee, monitor, and measure unit cost trends and network improvement opportunities
- Support existing application solutions, identify and develop technical enhancements to improve outcomes
- Bachelor's degree in Business, Economics, Finance, Healthcare, or related field or equivalent experience
- 6+ years of contracting, healthcare reimbursement, provider contract modeling, or quality measurement experience
- Knowledge of Healthcare Delivery Systems and familiarity with programs such as SQL, SAS/SPSS, Office Suite, and Visio preferred
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.
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