Provider Engagement Administrator I
Company: Oklahoma Complete Health
Location: Lawton
Posted on: November 18, 2023
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Job Description:
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.
Oklahoma Complete Health, a Centene company, is committed to
providing quality healthcare solutions to transform the health of
Oklahomans.
At Oklahoma Complete Health, we are community advocates and
change-makers in search of an inclusive culture grounded by our
commitment to work-life balance, competitive compensation, and
continuous career development. Join us and be a part of a
collaborative, growing network of innovative thinkers delivering
solutions at the local level. Must Reside in Oklahoma Position
Purpose: Acts as a liaison between Tier III and Tier IV providers
(small to medium PCP groups not on risk contracts and providers
with upside only incentives) and the health plan. Manages Network
performance for assigned territory through a consultative/account
management approach. Drives provider performance improvement in the
following areas: Risk/P4Q, Health Benefit Ratio (HBR),
HEDIS/quality, cost and utilization, etc. Evaluates provider
performance and develops strategic plan to improve performance.
Performs detailed HBR analysis. Facilitates provider trainings,
orientations, and coaches for performance improvement within the
network and assists with claim resolution.
Our Comprehensive Benefits Package: Flexible work solutions
including remote options, hybrid work schedules and dress
flexibility, Competitive pay, Paid time off including holidays,
Health insurance coverage for you and your dependents, 401(k) and
stock purchase plans, Tuition reimbursement and best-in-class
training and development.
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.
Keywords: Oklahoma Complete Health, Lawton , Provider Engagement Administrator I, Other , Lawton, Oklahoma
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