Provider Engagement Account Manager

Centene Corporation

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

Posted 9/22/2026full-timeRemote • Oklahoma • 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, network performance management, and quality improvement within the healthcare sector. Proficient in utilizing data analytics to enhance provider performance and drive contract incentive outcomes.

Highest-signal resume keywords

Provider RelationsNetwork Performance ManagementHEDIS/Quality MeasuresProject ManagementClaims Resolution

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalyticsQuality ImprovementUtilization ManagementContractingClaims SubmissionProvider EducationDemographic Information ManagementPerformance EvaluationIssue ResolutionConsultative Account Management

Soft Skills

Client RelationsCommunicationProblem SolvingInterpersonal SkillsTeam Collaboration

Industry Keywords

Managed CareHealth PlanProvider NetworksRisk/P4QHBROklahoma ResidencyLocal TravelMedical Group ExperienceClinical OperationsIn-Person Physician Visits

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
Manage consultative account management and accountability for issue resolution
Drive 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 for resolution
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
Conduct provider orientations and ongoing provider education
Manage network performance for assigned territory
Evaluate provider performance and develop strategic improvement plans
Drive improvements in Risk/P4Q, HBR, HEDIS/quality, cost, and utilization
Complete special projects as assigned
Conduct regular in-person physician visits for real-time support and performance discussions
Use data analytics to monitor provider performance and provide actionable feedback

Requirements

What you’ll need

Must reside and currently live in Oklahoma
Must be authorized to work in the U.S. without employment-based visa sponsorship now or in the future
Ability to travel locally 4 days a week
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 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 employer committed to diversity