Director, Provider Relations

Company: Oklahoma Complete Health
Location: Shawnee
Posted on: November 19, 2023

Job Description:

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 long-term needs.
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