Manager, Provider Network Performance
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Job Description
Managing provider network analytics, contracting models, and rate-impact analysis for Centene’s Georgia healthcare network. Supporting health plans, providers, and communities through reporting, modeling, and project leadership.
Responsibilities:
- Manage and support the development of network performance analytics
- Design and build data solutions that create, maintain, interface with, or transform data for contracting analytics and modeling applications
- Oversee development of project applications and determine financial impact of contract negotiations and statewide rate changes
- Collaborate across departments to determine analytic reporting needs
- Provide training and support on network performance applications and reporting tools
- Lead provider profiling and network performance analytic support functions
- Support health plans and other stakeholders
- Monitor and measure unit cost trends and network improvement opportunities
- Support existing application solutions and develop technical enhancements to improve outcomes
- Plan, manage, analyze, design, and implement projects, including scheduling deliverables, goals, and milestones
Requirements:
- Bachelor's degree in Business, Economics, Finance, Healthcare or related field, or equivalent experience
- 5+ years of contracting, health care reimbursement, provider contract modeling or quality measurement experience
- Previous experience as a lead in a functional area, managing cross functional teams on large scale projects, or supervisory experience including hiring, training, assigning work and managing staff performance
- Knowledge of Health Care Delivery Systems
- Familiarity with SQL, SAS/SPSS, Office Suite, and Visio preferred
- Candidates should reside within the state of Georgia due to travel requirements
- Ability to work in a field-based role directly with providers and communities across Georgia
Benefits:
- Competitive pay
- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation
- Equal opportunity employer committed to diversity
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