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Provider Performance Manager
Company | Centene |
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Location | Springfield, OR, USA |
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Salary | $55100 – $99000 |
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Type | Full-Time |
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Degrees | Bachelor’s |
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Experience Level | Mid Level, Senior |
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Requirements
- Bachelor’s Degree in Nursing, Medicine, or Health Sciences required
- 3+ years of behavioral health, value-based contracting, or process and performance improvement experience required
- Candidate is required to reside in the state of Oregon as there is up to 30% travel for provider and team meetings required.
Responsibilities
- Collaborates with provider staff to develop and implement operational and clinical process improvements to help providers achieve higher performance
- Identify, develop, and establish key performance metrics to measure performance of providers related to their value based contracts.
- Identify improvement opportunities based on key performance indicators and develop action plans
- Develop and provide training and support to provider staffs to assist them in understanding performance metrics and implement operational and clinical improvements
- Promote collaboration across provider groups to enable sharing of best practices and performance improvement opportunities
- Resolve various system, process or resource issues to address provider feedback and concerns
- Build collaborative relationships with internal and external customers to facilitate process improvement and improved clinical outcomes
- Participate in internal and external customer meetings with providers, VBC team and internal PHCO clinical team
- Participate in Joint Operating Committees (JOC’s) with VBC providers, VBC team and internal PHCO clinical team
- Lead and support clinical/quality discussion on behalf of the internal Care Management team
- Work in accordance with corporate team to develop and improve departmental processes and procedures
- Performs other duties as assigned
- Complies with all policies and standards
Preferred Qualifications
- Master’s Degree in Nursing, Physician Assistant degree or graduate degrees in the fields of Pharmacy, Social Work, Counseling or Clinical Psychology preferred.