VP, Network Development & Contracting - Sunshine State Health Plan

Centene Management Company LLC; Town of Florida (NY); Hybrid; USD 207,000 - 392,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Remote work with flexible schedules

Job summary

Centene is seeking a senior leader to oversee the provider network strategy, contracting, and related operations from a remote location in Florida. The role directs analysis, budgeting, and expansion initiatives across markets, aligning network costs with corporate strategy.

Ideal candidates have 10+ years in network development or contracting management within healthcare, with a Bachelor's and preferably an MBA or MHA.

Qualifications

• Bachelor's degree or equivalent required in business, healthcare admin, or related field.
• MBA or MHA preferred for advanced leadership.
• 10+ years in network development/provider relations or contracting management in healthcare.

Responsibilities

• Oversee provider network strategy, access analysis and network operations.
• Lead contracting activities, including analyses to support negotiations.
• Manage budgeting/forecasting for network costs and provider contracts.
• Support market expansion and due diligence in provider contracts.

Education

Bachelor's degree or equivalent, in Business Administration, Healthcare Administration or related field

MBA or MHA preferred

Tools

None

Job description

Position Location:

Remote in FL

Position Purpose:

Oversee provider network and contracting related activities. Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management. Oversee the coordination and negotiation for the contracting department, including analysis of various information to support contract negotiations. Ensure development of provider networks across expansion markets. Evaluate provider network cost, coverage, and growth and recommend expansion opportunities. Oversee budgeting and forecasting initiatives for various product lines to networks costs and provider contracts. Review provider contracting rates to ensure strategic focus is on target with overall company strategy. Participate in unit cost and selective contracting initiatives. Establish the department’s strategic vision, objectives, and policies and procedures, including developing, implementing, and maintaining production and quality standards. 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. Performs other duties as assigned. Complies with all policies and standards.

Education/Experience:

Bachelor's Degree or equivalent, in Business Administration, Healthcare Administration or related field required. MBA or MHA degree preferred. 10+ years of network development and provider relations or contracting management in a health care or managed care environment required. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Preferred Experience:

All contracting for Medicaid, Medicare and Marketplace lines of business covering the FL market. Valid driver’s license.

Pay Range:

$207,000.00 - $392,100.00 per year

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.

Benefits:

Centene offers a comprehensive benefits package including:

• 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.

Equal Opportunity Employer:

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.

Contact and Support:

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.