Regional Vice President, Provider Experience
Posted on: 16 Feb 2021
Clayton, MO
Job Description
Position Purpose:
Responsible for providing enterprise-wide strategic direction and tactical leadership for Provider Experience. This position with Llead and coordinate the overall direction of the organization as it relates to its interactions with providers. This includes working closely with provider organizations on administrative and clinical data to simplify the sharing of this information across the Healthplan and the provider. The position will work closely with other enterprise partners to ease and improve the way the organization and the providers do business with each other to improve the health of our members and their patients.
* Responsible for developing the Provider Experience Model for the organization
* Ensure collaboration and integration of key provider integration strategies and initiatives with the Market CEO and Enterprise partners
* Evaluate key interactions, administrative, informational and clinical and develop improved workflows to capture and transfer the information
* Work across the enterprise to develop criteria and direction to improve the interactions between the providers who serve our members and the organization
Education/Experience:
Master's degree in business administration, healthcare administration or related field. 10+ years of healthcare management, network development, or provider/payor contracting, finance, or administration experience in a large healthcare organization or health plan or managed care environment. Previous senior management experience including responsibilities for hiring, training, assigning work and managing performance of staff.
This role can be based in any market where Centene has a significant presence.
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.
WellCare
Tampa, FL
WellCare Health Plans, Inc. provides government-sponsored managed care services. The company operates in three segments: Medicaid Health Plans, Medicare Health Plans, and Medicare Prescription Drug Plans (PDPs). The Medicaid Health Plans segment offers plans for beneficiaries of temporary assistance for needy families, supplemental security income, and aged blind and disabled residents; and other state-based programs, such as children's health insurance programs and long-term services and supports programs for qualifying families who are not eligible for Medicaid.
The Medicare Health Plans segment provides Medicare, a federal program that provides eligible persons aged 65 and over, as well as some disabled persons with a range of hospital, medical, and prescription drug benefits; Medicare Advantage, a Medicare’s managed care alternative to the original Medicare program, which offers individuals standard Medicare benefits directly through Centers for Medicare & Medicaid Services; and coordinated care plans that are administered through health maintenance organizations and require members to seek health care services and select a primary care physician from a network of health care providers.
The Medicare PDPs segment provides Medicare part D PDP plans to Medicare-eligible beneficiaries. Its PDP plans offer national in-network prescription drug coverage, including a preferred pharmacy network. As of December 31, 2018, the company served approximately 5.5 million members in the United States. WellCare Health Plans, Inc. was founded in 1985 and is headquartered in Tampa, Florida.
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IndustryHealthcare
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No. of Employees12, 000
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Website
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Jobs Posted917
