Centene Corporation Provider Relations Specialist II in Clayton, Missouri
ProfessionalPosition Purpose: 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 staff
Ability to travel
Education/Experience: High school diploma or equivalent. Bachelor’s degree in healthcare related field preferred. 5+ years of sales, provider relations, or contracting experience. Claims processing and/or managed care experience preferred.
License/Certification: 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: Clayton, Missouri
COMPANY: Business Development & Sales
POSITION TYPE: Professional