Provider Engagement Account Manager at Centene

This role is ideal for a healthcare professional with a background in managed care or medical group operations. You should be a strong communicator who understands the "business side" of medicine, specifically how to bridge the gap between insurance health plans and clinical providers. A Bachelor’s degree and at least two years of experience in provider relations, claims, or quality improvement are required. While this is a remote-friendly position, it is strictly for residents of Kentucky and requires 25% travel for in-person physician visits. The role offers a wide salary range up to $101k, comprehensive benefits including a stock purchase plan, and the opportunity to drive high-level strategy in value-based care and HEDIS quality metrics. **You might be a good fit if you...** * Reside in **Kentucky** and are comfortable traveling to meet with providers face-to-face. * Have a solid grasp of **HEDIS/Quality measures** and how they impact health outcomes. * Enjoy "consultative sales" where you use data analytics to help doctors improve their performance and cost-efficiency. * Are experienced in triaging complex provider issues, such as claim disputes or demographic updates.