Provider Performance Specialist II (Foster Care)
Company: Home State Health Plan
Location: Saint Joseph
Posted on: June 21, 2022
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Job Description:
You could be the one who changes everything for our 26 million
members. Centene is transforming the health of our communities, one
person at a time. As a diversified, national organization, you---ll
have access to competitive benefits including a fresh perspective
on workplace flexibility. Position Purpose: Provide consultative
support to providers to improve their performance on member
outreach, utilization management, cost, quality and risk. Discuss,
analyze and interpret performance reporting, member engagement data
and other data resources to identify opportunities for improving
member outcomes. Interpret performance data, prioritizing insights
and developing discussion and presentation documents, including
year-to-date results, month-over-month performance, and member
engagement results Facilitate provider discussions regarding
quality, utilization, and cost or risk performance improvement
opportunities, utilizing corporate tools and reporting Collaborate
with health plan quality counterpart to ensure coordinated
communication and goal alignment for provider discussions Develop
proficiency in tools and value based performance (VBP) and educate
providers on the use of tools and interpretation of data Present
detailed HBR (Health Benefits Ratio) analysis and create reports
for Joint Operating Committee meetings Our Comprehensive Benefits
Package: Flexible work solutions including remote options, hybrid
work schedules and dress flexibility Competitive pay Paid Time Off
including paid holidays Health insurance coverage for you and
dependents 401(k) and stock purchase plans Tuition reimbursement
and best-in-class training and development Education/Experience:
Bachelor---s degree in related field or equivalent experience. 2
years of combined managed healthcare and provider reimbursement
experience. Claims processing and/or managed care experience
preferred 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.
Keywords: Home State Health Plan, Saint Joseph , Provider Performance Specialist II (Foster Care), Other , Saint Joseph, Missouri
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