Senior Manager, Provider Network Performance

Centene Management Company LLC; Missouri; Hybrid; USD 108,000 - 199,000; Full time

Job summary

Centene Management Company LLC is seeking a senior analyst to drive contracting analytics and build data solutions for evaluating financial impact of unit costs and care costs. This role focuses on network performance analytics, provider profiling, and contract modeling to support health plan decision-making.

The position is 100% remote within the United States, with quarterly onsite meetings in St. Louis, MO.

Qualifications

• Bachelor's degree in a 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; 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 with 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 and identify technical enhancements to improve outcomes.

Skills

Contract analytics

Data analysis

Stakeholder communication

Education

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

Tools

SQL

SAS/SPSS

Office Suite

Visio

Job description

Position Purpose

Manage and support the development of network performance analytics. Design and build solutions that create, maintain, interface, or transform data in order to support a complete business need around contracting analytics and modeling applications.

Key Details

This position is 100% remote within the United States. Quarterly onsite meetings are held in St. Louis, MO. Travel is not required; however, local team members are encouraged to attend in person when available.

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.

Education/Experience

Bachelors' 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 programs such as SQL, SAS/SPSS, Office Suite, and Visio preferred.

Pay Range

$107,700.00 - $199,300.00 per year.

About Centene

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 offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and 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.

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.

Thanks for your interest in Centene and its subsidiary companies. We're so glad that you've decided to fill out an application and take the next step to find your purpose. 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.