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Centene Corporation · 10 hours ago

Senior Manager, Value Based Performance Management

Texas, United States

Full-time

Hybrid

Mid, Senior Level

$88K/yr - $158K/yr

6+ years exp

Centene Corporation is transforming the health of communities, one person at a time. The Senior Manager of Value Based Performance Management leads a team to manage provider relations and improve network performance through effective strategies and professional development.

Hospital & Health Care

Responsibilities

Leads and develops a team of Provider Relations Representatives, Provider Relations Supervisors and/or Network Performance Advisors

Conducts ride-alongs with Reps in the field to develop skills and behaviors and document progress/provide formative feedback through timely and consistent Field Trip Reports

Identifies team skill set deficiencies and implements proper professional development plans

Monitors Provider Performance action plans and tracks provider performance improvement

Ensures compliance with enterprise provider performance and relationship model and team engagement of provider performance reporting

Responsible for understanding the differences between Risk and Value-Based contractual arrangements

Responsible for understanding HEDIS and STARS measures and partners with Quality Team to drive improvement of quality provider performance

Plans, prepares and executes effective group meetings/discussions with proper objectives and outcomes

Ensures adherence to contractual obligations and to regulatory requirements

Identifies areas of opportunity to improve Provider Satisfaction and Provider Experience

Assists in monitoring and developing High Performing Practices and driving Network Transformation Strategies to optimize member outcomes

Educates and enhances provider partnerships and implements market and enterprise initiatives

Strategizes membership growth for High Performing Practices and/or sophisticated complex provider relationships

Provides training, mentoring and guidance to new managers

Special projects as assigned or directed

Leads and develops Provider Operations staff

Qualification

Provider Relations ManagementNetwork Performance ImprovementRiskValue-Based ContractsHEDISSTARS MeasuresTeam DevelopmentTrainingStrategic PlanningProvider Satisfaction ImprovementMentoring