Senior Manager, Provider Network Performance

Centene Corporation•Remote-MO, MO

1d•$107,700 - $199,300•Remote

About The Position

Manage and support the development of network performance analytics. Design and build solutions that create, maintain, interface with, or transform data to support business needs involving contracting analytics and modeling applications. The position is 100% remote within the United States, with quarterly onsite meetings in St. Louis, Missouri. Travel is not required, although local team members are encouraged to attend in person when available.

Requirements

Bachelor’s degree in Business, Economics, Finance, Healthcare, or a related field, or equivalent experience.
At least 6 years of experience in contracting, health care reimbursement, provider contract modeling, or quality measurement.

Nice To Haves

Knowledge of health care delivery systems.
Familiarity with SQL, SAS/SPSS, Office Suite, and Visio.

Responsibilities

Oversee development of project applications and determine the financial impact of contract negotiations and statewide rate changes.
Develop enhanced analytic and reporting capabilities and tools to monitor and evaluate the financial impact of changes in unit cost and cost of care.
Provide analytic support for network performance, unit cost trends, network profiling, evaluation, and contract modeling for current and future business.
Plan, manage, analyze, design, and implement projects, including scheduling deliverables, goals, and milestones.
Collaborate interdepartmentally to determine analytic reporting needs and provide training and support on network performance applications and reporting tools.
Lead provider profiling and network performance analytic support functions and provide support to health plans and other stakeholders.
Oversee, monitor, and measure unit cost trends and network improvement opportunities.
Support existing application solutions and identify and develop technical enhancements to improve outcomes.