VBC Performance Manager

Centene Corporation

VBC Performance Manager improving Centene’s U.S. healthcare provider network performance.

Posted 9/4/2026full-timeRemote • Montana • 🇺🇸 United StatesMid-LevelSenior💰 $70,100 - $126,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider relations, network performance management, and quality improvement within managed care settings. Proficient in HEDIS measures and Value Based Care, with strong communication and project management skills.

Highest-signal resume keywords

Provider RelationsHEDIS/Quality MeasuresValue Based CareProject ManagementNetwork Performance Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality ImprovementClaims ManagementUtilization ManagementContractingData InterpretationPerformance ImprovementStrategic ImplementationConsultative Account ManagementIssue ResolutionProvider Education

Soft Skills

Strong Communication SkillsPresentation SkillsCoaching

Tools & Technologies

VBP Tools

Industry Keywords

Managed CareMedical GroupProvider NetworksCost UtilizationRisk/P4QHBR AnalysisJoint Operating Committee

About the role

Key responsibilities & impact

Develop strategic partnerships between the health plan and contracted provider networks
Engage with providers to align on network performance opportunities and solutions
Provide consultative account management and accountability for issue resolution
Drive performance in contract incentive performance, quality, and cost utilization
Participate in development of network management strategies
Assist in strategic implementation of initiatives for performance improvement
Serve as primary contact and liaison between providers and the health plan
Identify and deliver solutions to provider concerns and issues
Receive and respond to external provider-related issues
Investigate, resolve, and communicate provider claim issues and changes
Educate providers on referrals, claims submission, website usage, EDI solicitation, and related topics
Perform provider orientations and ongoing provider education
Write and update orientation materials
Manage network performance for assigned territory through consultative/account management
Evaluate provider performance and develop strategic improvement plans
Drive improvement in Risk/P4Q, HBR, HEDIS/quality, cost, and utilization
Present HBR analysis and create reports for Joint Operating Committee meetings
Develop proficiency in VBP tools and educate providers on tool use and data interpretation
Coach new and less experienced External Representatives
Perform other duties as assigned
Comply with all policies and standards

Requirements

What you’ll need

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
Bachelor’s degree in related field or equivalent experience
Three or more years of managed care or medical group experience, provider relations, quality improvement, claims, contracting, utilization management, or clinical operations
Project management experience at a medical group, IPA, or health plan setting
Strong communication and presentation skills
Proficient in HEDIS/Quality measures, cost and utilization
Experience with and understanding of Value Based Care is highly preferred
Ability to travel locally 4 days a week
Remote position open to someone working anywhere in the United States
Occasional travel up to 10%

Benefits

Comp & perks

Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off
Holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Total compensation may include additional forms of incentives