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
March 8
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
• 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 • 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 • 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
• Bachelor's degree, or equivalent, in Business Administration, Healthcare Administration or related field • MBA or MHA degree preferred • 10+ years of network development and provider relations or contracting management in a health care or managed care environment • Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff • Valid driver’s license
• 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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