Director, Contracting & Network Development

Centene Corporation; Missouri; Hybrid; USD 142,000 - 261,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plan

Tuition reimbursement

Paid time off

Job summary

Centene Corporation is seeking a leader to oversee provider contracting, network development and provider relations, shaping policies and procedures for a broad health network.

The role emphasizes contracting activities, network recruitment in new markets, and support for new business launches, with travel as required. A bachelor's degree and 7+ years in contracting/relations are expected, with Missouri residency for consideration.

Qualifications

• Bachelor's degree in Business Administration, Health Care Administration or related field or equivalent experience.
• 7+ years of combined contracting, network development or provider relations experience.
• Experience with Medicaid/Medicare contracting and negotiating hospital or large physician group agreements.
• Previous management experience including hiring, training and performance management.

Responsibilities

• Oversee provider contracting activities to ensure efficiency and compliance with policies and laws.
• Implement development activities for recruitment and contracting of provider networks in new and existing markets.
• Support new business launches in diverse markets considering market circumstances and resources.
• Perform complex financial analyses to identify medical cost improvement opportunities and contract strategies.
• Oversee staff and external consultants in network development for new and expansion markets.
• Monitor performance, address gaps, and communicate network strategy and planning.
• Ability to travel.

Skills

Provider contracting

Network development

Provider relations

Leadership

Travel readiness

Education

Bachelor's degree in Business Administration

Bachelor's degree in Health Care Administration

Tools

Licenses: Valid driver's license

Job description

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. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.

• 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
• Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning
• Ability to travel

Education/Experience: 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. License/Certification: Valid driver's license.

Applicants must be in the state of Missouri to be considered for this role. This is a remote position that will require regular travel for internal and provider-facing meetings. The home office is in the St. Louis, MO area.

Pay Range: $141,500.00 - $261,400.00 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
• 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. Benefits may be subject to program eligibility.

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