Senior Director, Contracting & Network Development.

Centene Management Company LLC; Texas; Hybrid; USD 148,000 - 274,000; 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 arrangement (remote/hybr

Job summary

Centene Management Company LLC is seeking a Senior Director, Network Development & Contracting to lead provider contracting, network development, and optimization initiatives across product lines. This role partners with executive leadership to drive strategic contracting solutions, regulatory compliance, and network growth.

The position requires a Bachelor’s degree with 7+ years in contracting or healthcare operations, and a track record of establishing new markets and implementing network

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, related field or equivalent experience.
• 7+ years of contracting or healthcare operations experience.
• Experience establishing new markets including strategy development and implementation oversight.

Responsibilities

• Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments.
• Develop strategy for developing new networks including plans to meet network access and unit cost objectives.
• Determine necessary resources to develop the network and assemble the appropriate team across all functions.
• Support new business launches in diverse markets considering market circumstances and resources.
• Lead the network development specialists during implementation and development stages; monitor performance and address gaps.

Education

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

Job description

Position Purpose

Position Purpose: Oversee the development and implementation of contracting activities in network development and enhancement.

Key Details

Key Details: The Senior Director, Network Development & Contracting is responsible for providing strategic leadership, direction, and oversight of provider contracting, network development, and network optimization initiatives across multiple product lines. This role is accountable for developing and executing network strategies that support organizational growth, regulatory compliance, network adequacy, affordability objectives, and provider engagement goals. The Senior Director serves as a key business leader, collaborating with executive leadership and cross-functional stakeholders to develop innovative contracting solutions, strengthen provider partnerships, and drive operational excellence across the network development organization.

Responsibilities

The team prefers a candidate living in TX. Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between health plan and vendors Work with business development and providers to develop a strategy for developing new networks including plans to meet network access and unit cost objectives Determine necessary resources to develop the network and assemble the appropriate team across all business functions. Complete development of budget in alignment with Centene network management and financial objectives Support the new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources Lead the network development specialists during the implementation and development stages 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 with complex and major provider contracts as needed to support network objectives

Education & Experience

Education/Experience: Bachelor’s degree in Healthcare Administration, Business Administration, related field or equivalent experience. 7+ years of related contracting or healthcare operations experience. Experience establishing new markets including the development of the strategy and oversight of the implementation.

Pay Range

Pay Range: $148,000.00 - $274,200.00 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

Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.

Total compensation may also include additional forms of incentives.

Benefits may be subject to program eligibility.

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.

Also, we’re here to help support you on your candidate journey.

Should you need an accommodation, please email [e-mail].

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.