Provider Engagement Account Manager

Centene Corporation

. Maintain partnerships between the health plan and contracted provider networks .

Posted 10/1/2026full-timeWichita • Kansas • United StatesJuniorMid-Level💰 $56,200 - $101,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider relations, quality improvement, and managed care operations, with a strong focus on HEDIS measures and contract performance. Proven ability to manage client relationships and drive strategic improvement plans within healthcare networks.

Highest-signal resume keywords

Provider RelationsHEDIS/Quality MeasuresManaged Care ExperienceProject ManagementClient Relationship Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality ImprovementClaims ManagementContractingUtilization ManagementDemographic Data EntryPerformance EvaluationStrategic Improvement PlanningIssue ResolutionProvider EducationNetwork Performance Management

Soft Skills

CommunicationProblem-SolvingConsultative Account ManagementInterpersonal SkillsCollaboration

Industry Keywords

Managed CareHealth PlanProvider NetworksCost UtilizationRisk/P4QHBRLocal TravelWichita, KSClinical OperationsSpecial Projects

About the role

Key responsibilities & impact

Maintain partnerships between the health plan and contracted provider networks
Build client relations to ensure delivery of the highest level of care to members
Engage providers on network performance opportunities and solutions
Provide consultative account management and accountability for issue resolution
Drive optimal contract incentive performance, quality, and cost utilization
Serve as primary contact and liaison between providers and the health plan
Triage provider issues to internal partners
Respond to external provider-related issues
Investigate, resolve, and communicate provider claim issues and changes
Enter provider-related demographic information changes
Educate providers on referrals, claims submission, website usage, EDI solicitation, and related topics
Perform provider orientations and ongoing education
Write and update orientation materials
Manage network performance for assigned territory
Evaluate provider performance and develop strategic improvement plans
Drive improvement in Risk/P4Q, HBR, HEDIS/quality, cost, and utilization
Complete special projects and other assigned duties
Comply with all policies and standards

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
Candidates must live in Wichita, KS
Ability to travel locally 4 days a week
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Equal opportunity and diversity commitment