Director, Contracting & Network Development

Centene Corporation•Burr Ridge, IL

5d•$141,500 - $261,400•Remote

About The Position

Centene is seeking a Director, Contracting & Network Development to oversee provider contracting, network development, and provider relations. This role involves formulating and administering organizational policies, ensuring compliance with business unit standards and government regulations, and implementing development activities for provider network recruitment and contracting in new and existing markets. The position requires performing complex financial analyses to identify cost improvement opportunities and execute contracting strategies. Additionally, it involves overseeing contracting and network development staff and external consultants, monitoring performance, and implementing business solutions for process and quality improvements. The role requires occasional travel.

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.
Applicants must be in the state of Illinois to be considered for this position.

Responsibilities

Oversee activities of the provider contracting, network development and/or provider relations functions.
Aid in formulating and administering organizational policies and procedures.
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.