Remote Senior Manager, Provider Network Performance

Centene Corporation; Clayton (MO); Remote; USD 108,000 - 199,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible work schedules (remote/hybrid

Job summary

Centene Corporation is seeking a seasoned analytics professional to lead the development and support of network performance analytics and contracting modeling applications. You will design scalable data solutions to inform contracting decisions and financial impact analyses across health plans.

The role involves coordinating cross-functional efforts, guiding project delivery, and translating analytic findings into actionable insights for business stakeholders. This is a remote U.S.

Qualifications

• Bachelor's degree in Business, Economics, Finance, Healthcare or related field or equivalent experience.
• 6+ years of contracting, health care reimbursement, provider contract modeling or quality measurement experience.
• Knowledge of Health Care Delivery Systems and familiarity with SQL, SAS/SPSS, Office Suite, and Visio preferred.

Responsibilities

• Oversee the development of project applications and determine the financial impact of contract negotiations and statewide rate changes.
• Develop enhanced analytic and reporting capabilities and tools to monitor and evaluate financial impact of changes in unit cost and cost of care.
• Provide analytic support for network performance, unit cost trend, network profiling, evaluation, and contract modeling for current and future business.
• Plan, manage, analyze, design and implement projects, including scheduling deliverables, goals, and milestones.
• 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.

Skills

SQL

SAS/SPSS

Office Suite

Visio

Contracting experience

Healthcare reimbursement

Education

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

Job description

Centene Corporation is seeking a seasoned analytics professional to lead the development and support of network performance analytics and contracting modeling applications. You will design scalable data solutions to inform contracting decisions and financial impact analyses across health plans.

The role involves coordinating cross-functional efforts, guiding project delivery, and translating analytic findings into actionable insights for business stakeholders. This is a remote U.S.