Value-Based Provider Partnerships Executive

Centene Corporation; Kentucky; Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work arrangements

Job summary

Centene Corporation in Kentucky seeks a strategic lead to develop and maintain partnerships with hospital systems, multispecialty groups, and large primary care organizations in value-based arrangements.

You will serve as the VBP SME, guiding program design, reporting, and financial methodologies, while delivering training and operational support to provider organizations and internal teams.

Qualifications

• Bachelor’s degree in related field or equivalent experience.
• Master’s Degree preferred (Public Health, Health Administration, or Business Administration).
• Five or more years of managed care or medical group experience, provider relations, quality improvement, utilization management, or clinical operations.
• Project management experience at a medical group, IPA, or health plan setting.
• Executive level exposure and ability to influence outcomes, innovation, performance, member improvements, growth and provider retention.
• Ability to synthesize complex issues at multiple organizational levels, externally and internally across multi-disciplinary teams.
• Highly proficient in HEDIS/Quality measures, cost and utilization.

Responsibilities

• Serve as the primary strategic partner and point of contact for hospital systems, multispecialty groups, and large primary care organizations participating in value-based and risk-based arrangements.
• Act as the Value-Based Program (VBP) subject matter expert by providing guidance on program design, reporting tools, performance metrics, and financial methodologies.
• Deliver training, education, and ongoing support to provider organizations and health plan teammates to ensure proficiency with VBP programs, reporting, and operational processes.
• Manage and maintain the VBP contract portfolio by resolving operational issues, correcting data discrepancies, and supporting payment execution.
• Analyze and interpret complex datasets using Excel, dashboards, and reporting tools to identify performance trends, risks, and improvement opportunities.
• Develop and deliver executive-level presentations that translate provider performance data into actionable insights and recommendations.
• Drive VBP success through process improvement initiatives, operational efficiencies, and development of best-practice playbooks.
• Execute provider performance improvement strategies across VBPs, including quality, pay-for-performance (P4P), cost, and utilization initiatives, by evaluating performance, developing action plans, and monitoring progress toward established goals.

Education

Bachelor’s degree or higher

Master’s Degree preferred

Job description

Centene Corporation in Kentucky seeks a strategic lead to develop and maintain partnerships with hospital systems, multispecialty groups, and large primary care organizations in value-based arrangements.

You will serve as the VBP SME, guiding program design, reporting, and financial methodologies, while delivering training and operational support to provider organizations and internal teams.