Vice President - Provider Network Strategy and Execution

2 days ago

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Centene Corporation

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Contracting • Network Development • Managed Care

10,000+

Description

• Responsible for developing and managing the provider network strategy for Centene Corporation • Lead all aspects of provider network strategy including reimbursement strategy, contracting strategy, unit cost management • Oversee network development staff and external consultants in the development of provider networks • 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 • Lead initiatives to ensure periodic review of provider contracting rates to ensure strategic focus • Support market expansion and M&A activities by leading provider contract analysis related to due diligence • Work collaboratively with Business Development on new market and new product development initiatives

Requirements

• Bachelor's degree in Business Administration, Healthcare Administration or related field • 10+ years of experience in managed care network development • 3+ years of experience in government programs • Previous experience managing staff, including hiring, training, managing workload and performance • Valid driver's license

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