Manager, Provider Relations

Position Purpose

Centene is transforming the health of our communities. This remote position requires 25% in‑field work in the greater NYC area and oversees 10 Provider Engagement Account Managers. The role manages provider relations staff, ensures policy compliance, escalates claim issues, participates in provider meetings, hires, trains, and develops staff while managing projects and ad hoc requests.

• Manage staff in provider relations area including workflow, training and communication standards
• Oversee day‑to‑day provider relations activities and department operations
• Develop, implement and maintain production and quality standards for provider relations staff
• Monitor and analyze costs and prepare departmental budget
• Coordinate pre‑contract activities with providers such as site visits, credentialing, orientation to contractual requirements

Bachelor’s degree in a related field or equivalent experience. 4+ years of managed care, health delivery system and/or project and staff management experience. Experience with state and federal health programs (Medicaid and Medicare) and provider relations/contracting experience with solid communication and negotiation skills. Prior lead experience managing cross‑functional teams, hiring, training, assigning work and managing staff performance.

$86,000.00 – $ per year.

Competitive pay, health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work schedules (remote, hybrid, field or office). Total compensation may also include additional incentives subject to program eligibility.

Centene is an equal opportunity employer committed to diversity and values differences. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.