Manager, Provider Network Performance

Centene Corp.; Georgia; Hybrid; USD 88,000 - 158,000; Full time

Job summary

Centene Corp in Georgia seeks a seasoned analytics professional to manage and advance network performance analytics. You will design, build and maintain data solutions supporting contracting analytics and modeling applications, interfacing with providers, health plans and field staff.

The role requires collaboration across departments, leadership of cross-functional teams, and the ability to analyze cost trends and implement improvements.

Qualifications

• Bachelor's degree or equivalent experience in a related field.
• 5+ years in contracting, health care reimbursement, provider contract modeling or quality measurement.
• Experience leading cross-functional teams on large projects or supervising staff.
• Knowledge of Health Care Delivery Systems; familiarity with SQL, SAS/SPSS, Office Suite, Visio.

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 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

Skills

Contracting analytics

Healthcare reimbursement

Provider contract modeling

Quality measurement

Education

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

Tools

SQL

SAS/SPSS

Office Suite

Visio

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

Company Overview

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.

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