VP - Network Development & Contracting

January 10

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Centene Corporation

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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

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

📋 Description

• Direct the provider network and contracting activities • Lead provider network strategy including access analysis, network operations • Oversee coordination and negotiation for the contracting department • Develop, implement and maintain production and quality standards • Oversee network development staff and external consultants • Perform periodic analyses of the provider network • Provide leadership in evaluating opportunities to expand or change the network • Manage budgeting and forecasting initiatives for product lines • Oversee analysis of claim trend data to support contract negotiations • Conduct periodic review of provider contracting rates • Support market expansion and M&A activities • Assist health plan CEO and/or COO vendors in key provider relations

🎯 Requirements

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

🏖️ 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