Provider Network Performance Lead (Hybrid/Field)

Centene Corporation; United States; Remote; USD 88,000 - 158,000; Full time

Job summary

Centene Corporation is seeking a Senior Network Analytics professional to manage and support the development of network performance analytics. The role involves designing data solutions to support contracting analytics and modeling applications, with travel across Georgia.

The ideal candidate has a Bachelor’s degree and 5+ years in contracting or provider contract modeling, plus familiarity with SQL, SAS/SPSS, Office, and Visio. Travel within Georgia is required.

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.
• Lead in a functional area, managing cross functional teams on large scale projects or supervisory experience.

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 reporting tools.
• Lead provider profiling and network performance analytic support for health plans and stakeholders.
• Oversee and measure unit cost trends and network improvement opportunities.
• Support existing solution, identify enhancements to improve outcomes.
• Plan, manage, analyze, design and implement projects with milestones.

Skills

Contracting experience

Healthcare reimbursement

SQL

SAS/SPSS

Visio

Office Suite

Education

Bachelor’s degree in business/healthcare or related field

Tools

SQL

SAS/SPSS

Visio

Office Suite

Job description

Centene Corporation is seeking a Senior Network Analytics professional to manage and support the development of network performance analytics. The role involves designing data solutions to support contracting analytics and modeling applications, with travel across Georgia.

The ideal candidate has a Bachelor’s degree and 5+ years in contracting or provider contract modeling, plus familiarity with SQL, SAS/SPSS, Office, and Visio. Travel within Georgia is required.