Remote Director, Network Development & Contracting

PA Health & Wellness; Bent Creek (NC); Remote; USD 135,000 - 249,000; Full time

Job summary

Centene is seeking a Senior Director to oversee provider contracting, network development and provider relations across markets. This remote role requires occasional travel within Pennsylvania and involves aligning contracting strategies with organizational policies and regulatory requirements.

You will lead teams, manage external consultants, perform financial analyses to drive cost improvements, and help launch new networks in diverse markets.

Qualifications

• Bachelor's degree in Business Administration, Health Care Administration, or related field, or equivalent experience.
• 7+ years of combined contracting, network development or provider relations experience.
• Experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements.
• Management experience including responsibilities for hiring, training, and supervising staff.
• Valid driver's license.

Responsibilities

• Oversee provider contracting activities to ensure efficiency and compliance with policies and laws.
• Implement development activities for recruitment and contracting of provider networks in new and existing markets.
• Support new business launches in diverse markets considering market circumstances and resources.
• Perform complex financial analyses to identify medical cost improvement opportunities and contracting strategies.
• Oversee contracting and network development staff and external consultants.
• Monitor performance and communicate network strategy and planning.
• Ability to travel.

Skills

Provider contracting

Network development

Provider relations

Staff management

Negotiation

Education

Bachelor's degree or equivalent

Job description

Centene is seeking a Senior Director to oversee provider contracting, network development and provider relations across markets. This remote role requires occasional travel within Pennsylvania and involves aligning contracting strategies with organizational policies and regulatory requirements.

You will lead teams, manage external consultants, perform financial analyses to drive cost improvements, and help launch new networks in diverse markets.