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Provider Partnership Associate

Company: Centene Coproration
Location: Bakersfield
Posted on: February 15, 2020

Job Description:

Description: Position Purpose: Perform initial health plan orientation and conduct ongoing educational outreach with a focus on improving quality and financial outcomes within provider network Conduct initial provider orientations as well as ongoing educational outreach Educate providers regarding policies and procedures related to referrals, claims submission, web site education, Electronic Health Records, Health Information Exchange, and Electronic Data Interface Engage providers on Patient Centered Medical Home initiatives Perform detailed HBR (Health Benefits Ratio) analysis and create reports for provider Review provider performance by both quantitative metrics and qualitative factors Create and communicate milestone documents, dashboards and success metrics Act as a liaison between the provider and the health plan ensuring a coordinated effort in improving financial and quality performance Provide status updates for providers regarding incentive agreements Conduct site visits when required and other Contracting duties as requested Ability to travel

Keywords: Centene Coproration, Bakersfield , Provider Partnership Associate, Other , Bakersfield, California

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