Job Description

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.

Position Purpose: Oversee provider network and contracting related activities. Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management.

• Oversee the coordination and negotiation for the contracting department, including analysis of various information to support contract negotiations
• Ensure development of provider networks across expansion markets
• Evaluate provider network cost, coverage, and growth and recommend expansion opportunities
• Oversee budgeting and forecasting initiatives for various product lines to networks costs and provider contracts
• Review provider contracting rates to ensure strategic focus is on target with overall company strategy
• Participate in unit cost and selective contracting initiatives
• Establish the department’s strategic vision, objectives, and policies and procedures, including developing, implementing, and maintaining production and quality standards
• Support market expansion and M&A activities by leading provider contract analysis related to due diligence
• Assist health plan CEO and/or COO vendors in key provider relations and strategy

Education/Experience: Bachelor's degree, or equivalent, in Business Administration, Healthcare Administration or related field. MBA or MHA degree preferred. 10+ years of network development and provider relations or contracting management in a health care or managed care environment. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

License/Certification: Valid driver’s license.Pay Range: $221,300.00 - $420,500.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Job Tags

Holiday work, Contract work, Remote job, Flexible hours,

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