Senior Director, Contracting & Network Development

Centene Management Company LLC; Town of Florida (NY); Hybrid; USD 135,000 - 249,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Remote, hybrid, field or office work

Job summary

Centene Management Company LLC seeks a senior leader to oversee hospital provider contracting within network development. You will direct evaluation, negotiations, and ongoing management of hospital contracts across Medicare, Medicaid, Marketplace, and ICHRA, and work with providers to expand networks in Florida.

This remote role requires 7+ years in hospital contracting, a Bachelor's degree (Master’s preferred), and willingness to travel in-state.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, related field or equivalent experience.
• 7+ years of related hospital contracting experience.
• Experience establishing new markets including the development of the hospital network strategy and oversight of the implementation.
• Master’s degree is preferred.

Responsibilities

• Direct the evaluation, review, negotiations and ongoing management of hospital contracts.
• Develop strategies for developing new networks/partnerships and market expansion considering budgets and resources.
• Monitor performance and implement solutions to address process and quality gaps.
• Communicate network strategy and planning with senior Centene leadership.

Education

Bachelor’s degree in Healthcare Administration/Business Administration or related field

Master’s degree preferred

Job description

Position Purpose

Oversee the development and implementation of hospital provider contracting activities in network development and enhancement.

Key Details

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.

Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between health plan and hospitals to include Medicare, Medicaid, Marketplace, and ICHRA. Work with business development and providers to develop a strategy for developing new networks/partnership strategies including plans to meet network access and unit cost objectives. Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources. Monitor performance, develop, and implement business solutions to address process and quality gaps. Communicate with senior management and other Centene leaders regarding network strategy and planning. Complete negotiations and re-negotiations with complex and major hospital systems as needed to support network objectives. Maintain hospital network and contract reporting to include contract language assessments by product and claims volume. Performs other duties as assigned. Complies with all policies and standards.

Education / Experience

Bachelor’s degree in Healthcare Administration, Business Administration, related field or equivalent experience. 7+ years of related hospital contracting experience. Experience establishing new markets including the development of the hospital network strategy and oversight of the implementation. Master’s degree is preferred. Candidates must be in Florida to be considered for this role. This is a remote position, but it will require occasional travel throughout Florida for internal and provider-facing meetings.

Pay Range

$134,600.00 - $249,000.00 per year

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• a flexible approach to work with remote, hybrid, field or office work schedules

Equal Opportunity & Diversity

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.

Company Overview

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.