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Centene Corporation Provider Account Manager in Houston, Texas

At Centene , your innovative thinking and new ideas can help us change the world of healthcare and transform our communities. When you join us, you'll become part of a team that helps run health plans in states coast-to-coast. Here, your skills, your passion and your vision can make a difference every day.

Centene is seeking a professional, organized, and adaptable Provider Account Manager . In this role, you will be the face of Superior Health Plan working with our Providers and Facilities. You will be responsible for the Providers overall experience and engagement. This will include Provider training, education, site visits, and overall support.

Previous experience in a provider-facing role is highly desired. As is previous experience in managed care, claims, contracting, Medicare and/or Medicaid.

The role will be approximately 75% in the field meeting with Providers in the Houston area. Must have the ability to travel and reliable transportation.

Additional responsibilities include the following. Apply Today! We look forward to speaking with you!

  • Manage and maintain assigned account and client relationships and service responsibilities.

  • Assist in the project management of all contract implementations and in the establishment of strong account relationships while ensuring a smooth transition of services for members.

  • Provide training to clients on the use and function of the products and services.

  • Coordinate the design, development and rollout of product enhancements and related projects as requested by clients.

  • Complete regularly scheduled site visits, conference calls and vendor delegation meetings with all accounts.

  • Act as liaison between all contracts and company operating departments on account issues.

  • Work with staff to resolve problems or complaints identified by accounts and manage account issues to closure.

  • Translate ideas and client requests into actionable items for operations to enhance service delivery or new product offerings.

  • Provide support and strategic business insight about products and services to management, peers and clients.

  • Assist leadership with monitoring and tracking legislative or regulatory changes and issues for all areas of operation.

  • Deliver presentations to internal and external business partners.

Highly Qualified Candidates Will Have The Following:

· Previous Provider-facing experience

· Experience in Managed Care, Claims, Contracting, Medicare or Medicaid

· Ability to travel throughout the Houston area

Education/Experience:

Bachelor’s degree in related field or equivalent experience. 3+ years of sales, provider relations, account management, client services, or contracting experience. Knowledge of health care, managed care, Medicare, Medicaid or Commercial insurance products.

Licenses/Certifications: Valid driver’s license

Key Words: Provider Relations, Network Contracting, Network Development, Healthcare, STARS, Medicaid, CHIP, Children’s Health Insurance Program, Sales, Provider Connect, Provider Connection, Provider Data, Provider Relations, Provider, Communications, Revenue Cycle, Revenue Analyst, Contract Specialist, Contract, Claims, Claims Billing, Revenue Cycle Support Representative, ROI, Physicians, Patients, Facilities, Configuration, Managed Care, MCO, provider reimbursement and analysis, Credentialing, Medicare, Medicaid, Account Management

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.

TITLE: Provider Account Manager

LOCATION: Houston, Texas

REQNUMBER: 1221457

COMPANY: Business Dev & Sales

POSITION TYPE: Both

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