Centene Corporation · 1 week ago

Vendor Management Analyst

United States

Full-time

Remote

Mid Level

$54K/yr - $97K/yr

3+ years exp

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Hospitals and Health Care

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Responsibilities

Assist with vendor utilization including work flows for coordinating services with the Health Plan

Analyze vendor data and complete required reports for the health plan, Corporate and state

Perform as a key account manager for the Health Plan to coordinate with high priority providers and vendors

Coordinate with Medical Management, Member Services and Provider Services to educate and communicate expectations, performance and procedures to vendors

Respond to provider related database information requests and concerns

Ensure operation integrity, including compliance with all policies and procedures for the Health Plan including adherence to state contract and guidelines

Request and/or assist in the development of correction action plans for standards that are not met by the vendor

Serve as a point of contact and resource for the business unit and vendors for all credentialing inquiries and issues

Ensure compliance with NCQA, URAC, federal, state and payor standards