Director, Provider Relations
Company: Oklahoma Complete Health
Posted on: November 19, 2023
You could be the one who changes everything for our 28 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. Oklahoma Complete Health, a Centene
company, is committed to providing quality healthcare solutions to
transform the health of Oklahomans. At Oklahoma Complete Health, we
are community advocates and change-makers in search of an inclusive
culture grounded by our commitment to work-life balance,
competitive compensation, and continuous career development. Join
us and be a part of a collaborative, growing network of innovative
thinkers delivering solutions at the local level.***Must Reside in
Oklahoma***Position Purpose: Oversee the Provider Relations
department including negotiations and administering organization
policies and procedures.
- Oversee the Provider Relations department to ensure in
compliance with company policies and standards, government laws,
regulations and contracting standards.
- Develop, implement and monitor policies and procedures.
- Develop tactical plans to align strategies and technologies
with future needs.
- Effectively manage budget and all resources for short and
- Prepare and analyze reports on departmental and organizational
activities and recommend improvements.
- Ensure timely Provider set up processing, auditing and
distribution of Provider Relations data management.
- Create effective organizational structure and develop staff
skills and competencies.
- Develop and oversee the training program for the Provider
Relations Department.Education/Experience: Bachelor's degree in a
Business Administration, Healthcare Administration, related field
or equivalent experience. 7+ years of provider relations or
contracting experience in a managed care or insurance environment,
preferably in Medicare or Medicaid. Previous management experience
including responsibilities for hiring, training, assigning work and
managing performance of staff.License/Certification: Valid driver's
license. Our Comprehensive Benefits Package: Flexible work
solutions including remote options, hybrid work schedules and dress
flexibility, Competitive pay, Paid time off including holidays,
Health insurance coverage for you and your dependents, 401(k) and
stock purchase plans, Tuition reimbursement and best-in-class
training and development.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: Oklahoma Complete Health, Midwest City , Director, Provider Relations, Executive , Shawnee, Oklahoma
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