Job description
Position Purpose: Manages up-front third party evaluations and relationships with Delegation partners for performance management standards, financial responsibility and proactively implements appropriate business solutions as required. Acts as the critical link between our Delegation partners and internal Departments. As the company's operations representative, this position manages the facilitation from initial launch of services through day-to-day interactions.
Key Details: This position is remote with up to 10% travel required.
Provide direct Account Management responsibilities including scheduling regular meetings with delegated entities, agenda management, documentation and minutes.
Create SLA performance dashboards and reporting with Delegated entity.
Maintains regular communications with leads at Delegated entity and works internally to communicate plan needs to Delegated entities.
Directs, monitors and/or contributes to special projects and other planning initiatives that are highly complex and involve oversight of the Delegated Care Management/Utilization Management entities.
Ensures that payments are accurate and timely for care management services rendered.
Education/Experience: Bachelor's degree in Business Administration, Public Administration or related field or equivalent experience. Five plus years of experience supporting working with Primary Care Providers, Account Management experience working in Healthcare or related field, able to present to executive-level teams at the delegated entitiesPay Range: $87,700.00 - $157,800.00 per year
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.