Manager, Provider Network Performance

Centene Management Company LLC; Georgia; Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work schedules

Job summary

Centene Management Company LLC is seeking a senior-level analytics professional to manage and support the development of network performance analytics for contracting and modeling applications in Georgia.

You will work with providers and communities across the state, travel as needed, and collaborate across departments to tailor analytic reporting and training. The role emphasizes leadership in cross-functional teams and driving data-driven contracting decisions.

Qualifications

• Bachelor's degree in Business, Economics, Finance, Healthcare or related field or equivalent experience.
• 5+ years of contracting, health care reimbursement, provider contract modeling or quality measurement experience.
• Leadership experience in a cross-functional team on large projects or supervisory responsibilities.

Responsibilities

• Oversee development of project applications and determine financial impact of contract negotiations and statewide rate changes.
• Collaborate interdepartmentally to determine analytic reporting needs and provide training on network performance applications and reporting tools.
• Lead provider profiling and network performance analytic support functions for health plans and stakeholders.
• Monitor unit cost trends and network improvement opportunities; support existing application solutions and plan project milestones.

Skills

Contracting analytics

Provider contract modeling

Quality measurement

SQL

SAS/SPSS

Office Suite

Visio

Education

Bachelor's degree in Business, Economics, Finance, Healthcare or related field

Tools

SQL

SAS/SPSS

Visio

Office Suite

Job description

Position Purpose

Manage and support the development of network performance analytics. Design and build solutions that create, maintain, interface, or transform data in order to support a complete business need around contracting analytics and modeling applications.

Key Details

This field-based opportunity offers the chance to work directly with providers and communities across Georgia. Due to the travel requirements of the role, candidates should reside within the state of Georgia. Oversee the development of project applications and determine the financial impact of contract negotiations and statewide rate changes. Collaborate interdepartmentally to determine analytic reporting needs and provide training and support on network performance applications and reporting tools. Lead provider profiling and network performance analytic support functions and provide support to health plans and other stakeholders. Oversee, monitor and measure unit cost trends and network improvement opportunities. Support existing application solutions, identify and develop technical enhancements to improve outcomes. Plan, manage, analyze, design and implement projects, including scheduling deliverables, goals, and milestones.

Education / Experience

Bachelor's’ degree in Business, Economics, Finance, Healthcare or related field or equivalent experience. 5+ years of contracting, health care reimbursement, provider contract modeling or quality measurement experience. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff. Knowledge of Health Care Delivery Systems and familiarity with programs such as SQL, SAS/SPSS, Office Suite, and Visio preferred.

Pay Range

Pay Range: $87,700.00 - $157,800.00 per year

About Centene

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.

• 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.

Equal Opportunity

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.