Director, Provider Engagement

Centene Corporation; United States; Teletrabalho; USD 135 000 - 249 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible/remote work options

Resumo da oferta

Centene Corporation is seeking a senior leader to drive strategic initiatives for provider engagement across multiple lines of business in a remote US-wide role. This leader will develop and execute strategies to improve quality, reduce costs, and optimize utilization while aligning with enterprise objectives.

You will guide program implementation, monitor performance trends, and manage budgets for regional or LOB initiatives.

Qualificações

• Bachelor's Degree in healthcare administration, business, public health, or a related field or equivalent work experience is required.
• Master's Degree (MBA, MHA, or MPH) preferred
• 8+ years of relevant experience in areas such as value-based care, population health, provider practice administration, provider performance improvement, or healthcare strategy required
• 5+ years of leadership experience, including managing teams and overseeing supervisors or managers and expertise in analyzing performance trends and identifying risks and opportunities to refine strategies required
• 1+ years Proven experience in leading large-scale provider engagement initiatives and driving performance improvement across multiple markets or lines of business, with proven ability to lead and develop high-performing teams in a dynamic environment preferred
• 1+ years Familiarity with value-based payment models and healthcare quality improvement initiatives and a track record of success in multi-region and multiple LOBs leadership roles within the healthcare industry preferred
• 1+ years Strong leadership skills with experience managing and mentoring senior-level teams and addressing complex challenges, with excellent communication and interpersonal skills to build strong relationships with team members and stakeholders preferred
• 1+ years Proven ability to drive continuous improvement in provider engagement strategies, with strong problem-solving and conflict-resolution skills to handle escalations preferred

Responsabilidades

• Develop and lead market-wide provider engagement strategies that support performance improvement and align with enterprise goals.
• Responsible for driving program implementation and timelines.
• Ensure the achievement of quality, cost, and utilization targets across assigned regions or LOBs by monitoring and addressing large-scale performance trends.
• Provide strategic guidance to leaders and their teams, addressing complex challenges and fostering an innovative and results-driven environment.
• Partner with team and leadership to ensure provider engagement strategies align with enterprise-wide priorities, market needs, and regulatory requirements.
• Serve as the primary contact for external stakeholders, including providers, networks, and regulatory entities, to strengthen partnerships and resolve challenges.
• Identify opportunities for innovation, driving continuous improvement in provider engagement approaches and market-level initiatives.
• Develop and manage budgets and resource plans for assigned regions or LOBs, ensuring optimal utilization and efficiency.
• Represent the organization in high-level meetings, forums, and conferences related to provider engagement.
• Performs other duties as assigned.
• Complies with all policies and standards.

Conhecimentos

Strategic leadership

Provider engagement

Healthcare strategy

Budget management

Regulatory alignment

Formação académica

Bachelor's Degree in healthcare administration, business, public health, or a related field

Master's Degree (MBA, MHA, or MPH) preferred

Descrição da oferta de emprego

This is a remote position and can be located anywhere in the US.

Position Purpose:

A senior leadership role responsible for driving strategic initiatives and ensuring the performance and alignment of provider engagement efforts across multiple lines of business (LOBs). This role requires a forward-thinking leader to develop and execute strategies that enhance provider relationships, improve quality, reduce costs, and optimize utilization, all while aligning with overarching organizational objectives.

Key Details

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.

• Develop and lead market-wide provider engagement strategies that support performance improvement and align with enterprise goals.
• Responsible for driving program implementation and timelines.
• Ensure the achievement of quality, cost, and utilization targets across assigned regions or LOBs by monitoring and addressing large-scale performance trends.
• Provide strategic guidance to leaders and their teams, addressing complex challenges and fostering an innovative and results-driven environment.
• Partner with team and leadership to ensure provider engagement strategies align with enterprise-wide priorities, market needs, and regulatory requirements.
• Serve as the primary contact for external stakeholders, including providers, networks, and regulatory entities, to strengthen partnerships and resolve challenges.
• Identify opportunities for innovation, driving continuous improvement in provider engagement approaches and market-level initiatives.
• Develop and manage budgets and resource plans for assigned regions or LOBs, ensuring optimal utilization and efficiency.
• Represent the organization in high-level meetings, forums, and conferences related to provider engagement.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience:

Bachelor's Degree in healthcare administration, business, public health, or a related field or equivalent work experience is required.

Master's Degree (MBA, MHA, or MPH) preferred

8+ years of relevant experience in areas such as value-based care, population health, provider practice administration, provider performance improvement, or healthcare strategy required

5+ years of leadership experience, including managing teams and overseeing supervisors or managers and expertise in analyzing performance trends and identifying risks and opportunities to refine strategies required

1+ years Proven experience in leading large-scale provider engagement initiatives and driving performance improvement across multiple markets or lines of business, with proven ability to lead and develop high-performing teams in a dynamic environment preferred

1+ years Familiarity with value-based payment models and healthcare quality improvement initiatives and a track record of success in multi-region and multiple LOBs leadership roles within the healthcare industry preferred

1+ years Strong leadership skills with experience managing and mentoring senior-level teams and addressing complex challenges, with excellent communication and interpersonal skills to build strong relationships with team members and stakeholders preferred

1+ years Proven ability to drive continuous improvement in provider engagement strategies, with strong problem-solving and conflict-resolution skills to handle escalations preferred

Pay Range: $134,600.00 - $249,000.00 per year

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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. 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