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Director, Provider Relations job

CenteneClayton, MO
Centene jobs

Company

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Job Description

 Job Description - Director, Provider Relations (1138529)
Job Description 
Director, Provider Relations - 1138529 
Description
 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.
  •  
    Qualifications
     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.
    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. 
    Job
    : Business Development & Sales 
    Primary Location
    : USA-Missouri-Clayton 
    Organization
    : Corporate 
    Schedule
    :Full-time

    TASKS

    • Negotiate collective bargaining agreements.
    • Monitor company or workforce adherence to labor agreements.
    • Present the position of the company or of labor during arbitration or other labor negotiations.
    • Write letters related to labor relations activities, such as letters to amend collective bargaining agreements, letters of dispute or conciliation, or letters to seek clarification of contract terms.

    SKILLS

    • Reading ComprehensionUnderstanding written sentences and paragraphs in work related documents.
    • Active ListeningGiving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
    • WritingCommunicating effectively in writing as appropriate for the needs of the audience.
    • SpeakingTalking to others to convey information effectively.

    KNOWLEDGE

    • Administration and ManagementKnowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
    • ClericalKnowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
    • Economics and AccountingKnowledge of economic and accounting principles and practices, the financial markets, banking and the analysis and reporting of financial data.
    • Sales and MarketingKnowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.

    Centene

    Type

    Company - Public (CNC)

    Size

    10000+ employees

    Revenue

    Over $10B

    Location

    Saint Louis, MO

    Industry

    Insurance

    Founded

    1984

    CEO

    Michael F. Neidorff

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