VP, Network Development & Contracting Strategy

Centene Corporation; Missouri; Hybrid; USD 216,000 - 360,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plan

Tuition reimbursement

Paid time off

Holidays

Flexible work arrangements

Job summary

Centene Corporation in Missouri seeks an Executive to direct provider network and contracting activities. Lead provider network strategy, access analysis, network operations, and support decision makers with reimbursement analysis. Oversee contracting department including negotiations, budget, forecasting, and due diligence for market expansion.

Travel up to 25% is expected. Remote, hybrid, or office work options are provided.

Responsibilities

• Establish the department’s strategic vision, objectives, and policies and procedures.
• Develop, implement and maintain production and quality standards for the Contracting department.
• Oversee network development staff and external consultants in the development of provider networks across expansion markets.
• Perform periodic analyses of the provider network from a cost, coverage, and growth perspective.
• Provide leadership in evaluating opportunities to expand or change the network to meet Company goals.
• Manage budgeting and forecasting initiatives for product lines to networks costs and provider contracts.
• Oversee analysis of claim trend data and/or market information to derive conclusions to support contract negotiations.
• Conduct periodic review of provider contracting rates to ensure strategic focus is on target with overall Company strategy.
• Support market expansion and M&A activities by leading provider contract analysis related to due diligence.
• Assist health plan CEO and/or COO vendors in key provider relations and strategy.
• Ability to travel up to 25%
• Performs other duties as assigned.
• Complies with all policies and standards.

Job description

Centene Corporation in Missouri seeks an Executive to direct provider network and contracting activities. Lead provider network strategy, access analysis, network operations, and support decision makers with reimbursement analysis. Oversee contracting department including negotiations, budget, forecasting, and due diligence for market expansion.

Travel up to 25% is expected. Remote, hybrid, or office work options are provided.