🔹 Job Title: Provider Engagement Account Manager
🔹 Company: Centene Corporation
🔹 Location: Hawaii, United States
🔹 Job Type: Remote
🔹 Category: 💼 Account Management
🔹 Date Posted: March 31, 2025
🔹 Experience Level: 2-5 years
🔹 Remote Status: Hybrid
Key aspects of this role include:
ASSUMPTION: The job overview suggests a focus on both strategic relationship building and operational issue resolution within provider networks.
✅ Serve as the primary contact and liaison for providers
✅ Triage and address provider issues with internal partners
✅ Resolve and communicate changes in provider claims and demographic information
✅ Educate providers on referrals, claims submission, and electronic data interchange (EDI)
✅ Conduct provider orientations and update orientation materials
✅ Manage network performance using a consultative approach
✅ Evaluate and implement strategies to improve provider performance
✅ Drive improvements in risk, quality, cost efficiency, and utilization
✅ Complete special projects and comply with company policies
ASSUMPTION: Responsibilities focus heavily on provider interaction, education, and ongoing performance management.
Education: Bachelor's degree in a related field or equivalent experience
Experience: 2 years in managed care, provider relations, quality improvement, or similar fields
Required Skills:
Preferred Skills:
ASSUMPTION: The emphasis is on practical experience in healthcare management and familiarity with quality metrics.
Salary Range: $55,100.00 - $99,000.00 per year
Benefits:
Working Hours: 40 hours per week, with flexible arrangements possible
ASSUMPTION: Compensation is competitive and aligns with industry standards given the skills and experience required.
Industry: Hospitals and Health Care
Company Size: 10,001+ employees, reflecting a large-scale operation with diverse opportunities
Founded: 1984
Company Description:
Company Specialties:
Company Website: http://www.centene.com
ASSUMPTION: The company has the resources and infrastructure to support employees effectively.
Career Level: Mid-level, suitable for professionals with some experience in healthcare management
Reporting Structure: Reports likely to senior account management or network management
Work Arrangement: Hybrid, requiring local travel four days a week
Growth Opportunities:
ASSUMPTION: Professional growth is available through involvement in high-impact healthcare initiatives.
Office Type: Remote with potential office or field-based interactions
Office Location(s): Based in Hawaii, with a focus on local provider networks
Geographic Context:
Work Schedule: Standard 40-hour workweek with some flexibility
ASSUMPTION: Local knowledge of healthcare practices in Hawaii is beneficial for successful execution of responsibilities.
Typical Process:
Key Assessment Areas:
Application Tips:
ATS Keywords: Provider Relations, Quality Improvement, Claims Management, HEDIS
ASSUMPTION: Candidates who effectively showcase specialized healthcare experience and technical skills will stand out.
ASSUMPTION: Familiarity with healthcare data systems and technology platforms will be crucial for effective job performance.
Company Values:
Work Style:
Self-Assessment Questions:
ASSUMPTION: A candidate with strong relational skills and adaptability in managing complex healthcare environments is ideal.
ASSUMPTION: The role may require resilience in face of evolving healthcare practices and regulatory environments.
ASSUMPTION: This role provides heightened engagement at the community level compared to similar positions in larger markets.
ASSUMPTION: Projects will focus on strengthening local healthcare delivery through tailored provider engagement strategies.
ASSUMPTION: Asking questions focusing on metrics, support, and resources will give deeper insights into the role.
To apply for this position:
⚠️ This job description contains AI-assisted information. Details should be verified directly with the employer before making decisions.