Provider Engagement Account Manager

Centene Corporation

Account Manager maintaining partnerships between the health plan and contracted provider networks for Centene. Engaging with providers to optimize performance and delivery of care across various counties.

Posted 5/1/2026full-timeWest Palm Beach • Florida • 🇺🇸 United StatesJuniorMid-Level💰 $56,200 - $101,000 per yearWebsite

About the role

Key responsibilities & impact

Maintain partnerships between the health plan and the contracted provider networks serving our communities
Build client relations to ensure delivery of the highest level of care to our members
Engage with providers to align on network performance opportunities and solutions
Triage provider issues as needed for resolution to internal partners
Investigate, resolve and communicate provider claim issues and changes
Educate providers regarding policies and procedures related to referrals and claims submission
Drive optimal performance in contract incentive performance, quality, and cost utilization
Manage network performance for assigned territory through a consultative/account management approach

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

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

managed careprovider relationsquality improvementclaims managementcontractingutilization managementclinical operationsproject managementHEDIScost and utilization

Soft Skills

client relationscommunicationproblem-solvingconsultative approacheducational skills

Certifications

Bachelor’s degree