Health Net • Topanga, CA 90290 • Posted 4 days ago
Tailored resume, cover letter, and cheat sheet
Using AI ⚡ to summarize the original job post
The Provider Engagement Account Administrator at Health Net is responsible for maintaining partnerships between the health plan and contracted provider networks, building client relations to ensure the highest level of care for members, and engaging with providers to align on network performance opportunities and solutions. This role involves acting as a liaison between providers and the health plan, triaging issues, educating providers, managing network performance, and driving performance improvement in various areas.
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.
Must live in or near San Bernadino County (Southern CA). Must be willing to travel locally to different provider offices.
Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.
Education/Experience: Bachelor’s degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations. Project management experience at a medical group, IPA, or health plan setting. Proficient in HEDIS/Quality measures, cost and utilization.
Pay Range: $54,000.00 - $97,100.00 per yearCentene 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
Search for other jobs like this one:
Search for popular related roles:
Search nearby locations hiring for this role: