Director, Contracting & Network Development
About the role
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time.
Responsibilities
- Oversee provider contracting activities to ensure efficiency and maintain compliance with the business unit’s policies and standards, government laws and regulations
- Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions
- Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources
- Perform complex financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial goals, and execute contracting strategies to meet goals and objectives
- Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets
- Maintain oversight of performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning
- Ability to travel
Requirements
- Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience
- 7+ years of combined contracting, network development or provider relations experience
- Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements
- Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff
Qualifications
- Valid driver's license
Skills
- Strong negotiation and contract management skills
- Excellent financial analysis and strategic planning abilities
- Effective communication and leadership skills
Benefits
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, including full-time or part-time status. Total compensation may also include additional forms of incentives.
Pay
$141,500.00 - $261,400.00 per year
Schedule
This is a remote role that requires occasional travel for internal and provider-facing meetings.