Centene Corporation
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Contracting • Network Development • Managed Care
Manager - Provider Network Performance
March 26
🐊 Florida – Remote
🌽 Illinois – Remote
+2 more states
💵 $86k - $154.7k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
👔 Manager
Centene Corporation
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Contracting • Network Development • Managed Care
📋 Description
• Manage and support the development of network performance analytics • Design and build solutions that create, maintain, interface, or transform data to support a complete business need around contracting analytics and modeling applications • Oversee the development of project applications and determine the financial impact of contract negotiations and statewide rate changes • 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 • Plan, manage, analyze, design and implement projects, including scheduling deliverables, goals, and milestones
🎯 Requirements
• Bachelor's degree in Business, Economics, Finance, Healthcare or related field or equivalent experience • 5+ years of contracting, health care reimbursement, provider contract modeling or quality measurement experience • Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff • Knowledge of Health Care Delivery Systems and familiarity with programs such as SQL, SAS/SPSS, Office Suite, and Visio preferred
🏖️ Benefits
• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules
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