Provider Performance Manager

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.
 

Position Purpose: Collaborate with healthcare providers to help them achieve high performance with their value based contracts.

• Collaborates with provider staff to develop and implement operational and clinical process improvements to help providers achieve higher performance

• Identify, develop, and establish key performance metrics to measure performance of providers related to their value based contracts.

• Identify improvement opportunities based on key performance indicators and develop action plans

• Develop and provide training and support to provider staffs to assist them in understanding performance metrics and implement operational and clinical improvements

• Promote collaboration across provider groups to enable sharing of best practices and performance improvement opportunities

• Resolve various system, process or resource issues to address provider feedback and concerns

For Population Health :

• Build collaborative relationships with internal and external customers to facilitate process improvement and improved clinical outcomes

• Participate in internal and externa customer meetings with providers, VBC team and internal PHCO clinical team

• Participate in Joint Operating Committees (JOC's) with VBC providers, VBC team and internal PHCO clinical team

• Lead and support clinical/quality discussion on behalf of the internal Care Management team

• Work in accordance with corporate team to develop and improve departmental processes and procedures
• Performs other duties as assigned

• Complies with all policies and standards

Education/Experience:
Bachelor's Degree in Nursing, Medicine, or Health Sciences required:
Master's Degree in Nursing, Physician Assistant degree or graduate degrees in the fields of Pharmacy, Social Work, Counseling or Clinical Psychology preferred: 3 years of case management and/or behavioral health and/or quality work, value-based contracting, or process and performance improvement experience required.

Candidates must be in Southern Illinois or the Saint Louis, MO area to be considered for this position. The role requires regular field work (about 2 days/week on average) to meet with providers across the Southern Illinois region.

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

Salary : $55,100 - $99,000