Senior Director, Contracting & Network Development

Centene CorporationRemote-FL, FL
$134,600 - $249,000Remote

About The Position

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Requirements

  • Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.
  • Bachelor’s degree in Healthcare Administration, Business Administration, related field or equivalent experience.
  • 7+ years of related hospital contracting experience.
  • Experience establishing new markets including the development of the hospital network strategy and oversight of the implementation.
  • Candidates must be in Florida to be considered for this role.

Nice To Haves

  • Master's degree is preferred.

Responsibilities

  • Oversee the development and implementation of hospital provider contracting activities in network development and enhancement.
  • Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between health plan and hospitals to include Medicare, Medicaid, Marketplace, and ICHRA.
  • Work with business development and providers to develop a strategy for developing new networks/partnership strategies including plans to meet network access and unit cost objectives.
  • Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources.
  • Monitor performance, develop, and implement business solutions to address process and quality gaps.
  • Communicate with senior management and other Centene leaders regarding network strategy and planning.
  • Complete negotiations and re-negotiations with complex and major hospital systems as needed to support network objectives.
  • Maintain hospital network and contract reporting to include contract language assessments by product and claims volume.
  • Performs other duties as assigned.
  • Complies with all policies and standards.

Benefits

  • competitive pay
  • health insurance
  • 401K
  • 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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