Remote VP, Network Strategy & Provider Contracts

Centene Corp.; New York (NY); On-site; USD 172,000 - 327,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements

Job summary

Centene Corp. in New York is seeking a senior leader to shape strategy and execution for the ICHRA product, building provider networks with dedicated rates across markets for Centene employees and external members.

You will drive value-based contracting, negotiate provider agreements, manage network development across expansion markets, and oversee budgeting, governance, and performance analysis to reduce costs and improve care.

Qualifications

• Bachelor's Degree in Business, Management, Healthcare Administration, or related field required.
• MBA preferred.
• 10+ years of healthcare administration, network development, or provider/payor contracting experience.
• Provider network development and strategy, provider contract negotiations, leading network development staff, unit cost and network strategy budgeting.
• Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

Responsibilities

• Develop relationships in multiple markets and implement strategies with key providers, provider associations and provider stakeholders.
• Lead key provider negotiations with Hospitals, Physicians, Ancillaries, and Community Health Centers.
• Develop and implement network development strategy plans with key providers in multiple markets.
• Oversee the development of provider networks across expansion markets.
• Manage budgeting and forecasting initiatives for stakeholder/network strategies, product lines, networks costs, and/or provider contracts.
• Develop, coordinate and managed provider advisory boards, committee’s and governance and maintain relationships with key provider leadership.
• Assist and advise on key provider relations and strategies.
• Evaluating opportunities to expand or change the network to meet company goals.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Provider network development

Provider contract negotiations

Budgeting and forecasting

Strategic planning

Staff leadership

Education

Bachelor's Degree in Business, Management, Healthcare Administration, or related field

MBA

Job description

Centene Corp. in New York is seeking a senior leader to shape strategy and execution for the ICHRA product, building provider networks with dedicated rates across markets for Centene employees and external members.

You will drive value-based contracting, negotiate provider agreements, manage network development across expansion markets, and oversee budgeting, governance, and performance analysis to reduce costs and improve care.