Provider Engagement Account Manager – Behavioral Health

Centene Corporation

Provider Engagement Account Manager maintaining healthcare partnerships and ensuring quality care delivery. Engaging with providers across Mississippi, offering support and solutions for optimal performance.

Posted 4/18/2026full-timeRemote • Mississippi • 🇺🇸 United StatesJuniorMid-Level💰 $56,200 - $101,000 per yearWebsite

About the role

Key responsibilities & impact

Maintain and strengthen partnerships between the health plan and the contracted Behavioral Health provider networks serving our communities
Serve as a strategic consultative liaison ensuring delivery of the highest level of care to our members
Engage with providers to align network performance opportunities and solutions, and consultative account management and accountability for issue resolution
Drive optimal performance incentive performance, quality, and cost utilization
Serve as primary contact for providers and act as a liaison between the providers and the health plan
Receive and effectively respond to external provider related issues
Completes special projects as assigned
Ability to travel locally 2-4 days a week
Complies with all policies and standards
Conducts regular in-person and virtual visits with Behavioral Health physicians to provide real-time support for Claims, Credentialing, and Care Management, UM, Network, and Compliance
Educate providers regarding policies and procedures related to referrals, claims submission, credential documentation, self-service tools, websites, Electronic Health Records, Health Information Exchange, and Electronic Data Interface
Investigate, document, and drive resolution of Behavioral Health provider concerns, ensuring timely follow-up and clear communication
Receive, triage, and resolve provider-related issues in coordination with internal partners including claims, credentialing, care management, utilization management, network, and compliance
Build and sustain collaborative, solution-oriented partnerships that enhance provider satisfaction and network stability
Ensure effective escalation and tracking of issues through closure
Translate complex claims and utilization data into clear, actionable insight for providers and internal stakeholders
Partner with analytics, finance, and operations teams to ensure data accuracy and alignment
Perform other duties as assigned

Requirements

What you’ll need

Bachelor’s degree in related field or equivalent experience
Two 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
Proficient in HEDIS/Quality measures, cost and utilization
Direct experience working with Behavioral Health providers (psychiatry, therapy, substance use, crisis services, etc.) strongly preferred
Minimum of two (2) years of provider engagement or account management experience, preferably within Behavioral Health in a health plan, IPA, medical group, or similar healthcare setting
Hands-on experience supporting provider operations, including claims processing and analysis, billing workflows, credentialing, and provider office management
Demonstrated ability to analyze and interpret claims and utilize data to identify trends, resolve provider issues, and support performance improvement discussions
Experience collaborating cross-functionally with Claims, Network, Credentialing, Care Management, and Compliance teams to drive issue resolution and performance outcomes

Benefits

Comp & perks

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

HEDISclaims processingcredentialingutilization managementdata analysisperformance improvementbilling workflowsprovider operationsquality improvementaccount management

Soft Skills

communicationcollaborationproblem-solvingconsultative skillsrelationship managementstrategic thinkingissue resolutionproject managementanalytical thinkingcustomer service