Provider Relations Specialist II
Company: Centene Corporation
Location: Little Rock
Posted on: June 25, 2022
You could be the one who changes everything for our 26 million
members. Centene is transforming the health of our communities, one
person at a time. As a diversified, national organization, you'll
have access to competitive benefits including a fresh perspective
on workplace flexibility.
Serve as a liaison between providers, the health plan and Corporate
to investigate and resolve provider claims
+ Conduct on-site provider orientations, including writing and
updating orientation materials and assisting providers acclimated
to plan website
+ Monitor financial performance of contracts
+ Investigate and document provider changes and correspondence
+ Coordinate with credentialing to ensure all appropriate
documentation is received
+ Serve as a lead for key special projects
+ Recommend changes in pricing subsystems
+ Coordinate printing of provider directories with corporate and
plan level entities
+ Investigate and respond to complex provider related issues and
initiate change of provider related database information
+ Serve as a subject matter expert for provider relations
activities and as a mentor for Provider Relations Specialist I
+ Ability to travel
Our Comprehensive Benefits Package:
+ Flexible work solutions including remote options, hybrid work
schedules and dress flexibility
+ Competitive pay
+ Paid Time Off including paid holidays
+ Health insurance coverage for you and dependents
+ 401(k) and stock purchase plans
+ Tuition reimbursement and best-in-class training and
+ High school diploma or equivalent. Bachelor's degree in
healthcare related field preferred.
+ 5+ years of sales, provider relations, or contracting
+ Claims processing and/or managed care experience preferred.
+ Driver's License may be required by some plans.
+ Specific language skills may be required by some plans.
Valid driver's license.
_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 Relations Specialist II
**LOCATION:** Little Rock, Arkansas
Keywords: Centene Corporation, Little Rock , Provider Relations Specialist II, Other , Little Rock, Arkansas
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