Director, Contracting & Network Development
About The Position
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: This role will be a leader on the team responsible for building, contracting, and managing the provider network for Ambetter Health Solutions – Centene’s ICHRA focused role. This includes overseeing activities of the provider contracting and network development functions for a national footprint – building and maintaining these networks in collaboration with local market leaders. As part of creating this new space, this role will operate with a “start up mentality" and require flexibility in job functions, which will evolve over time.
Requirements
- Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience.
- 7+ years of combined contracting, network development or provider relations experience.
- Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements.
- Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff.
- Valid driver's license.
- Ability to travel
Responsibilities
- Oversee provider contracting activities to ensure efficiency and maintain compliance with the business unit’s policies and standards, government laws and regulations
- Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions.
- Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources
- Perform complex financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial goals, and execute contracting strategies to meet goals and objectives
- Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets
- Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Director
Number of Employees
5,001-10,000 employees
