Provider Network Performance Lead (Hybrid/Remote)

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

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules (remote,hybrid

Field or office work schedules

Job summary

Centene Corp. seeks an analytics professional to manage network performance analytics development and to design data solutions supporting contracting analytics and modeling applications. The role focuses on Georgia providers and requires residence in Georgia due to travel expectations.

The position leads cross-functional teams, evaluates contract changes, and collaborates across departments to deliver impactful analytic reporting and performance improvements.

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 including hiring, training, assigning work and managing staff.

Responsibilities

• 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.

Skills

Leadership experience

Cross-functional leadership

Staff supervision

Education

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

Tools

SQL

SAS/SPSS

Office Suite

Visio

Job description

Centene Corp. seeks an analytics professional to manage network performance analytics development and to design data solutions supporting contracting analytics and modeling applications. The role focuses on Georgia providers and requires residence in Georgia due to travel expectations.

The position leads cross-functional teams, evaluates contract changes, and collaborates across departments to deliver impactful analytic reporting and performance improvements.