Senior Network Development Specialist

Centene Management Company • Jacksonville, FL

4d

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. Candidates must reside in Florida. This role will cover Jacksonville, Orlando, Tampa and other areas as assigned. Position Purpose: Support and manage enterprise network development strategy for multiple product lines. Lead efforts related to growth plans, maintenance and enhancement of provider relationships, and cost control. Develop and manage network development plans to achieve Centene’s growth objectives Analyze metrics and report on trends in provider reimbursement changes Identify and implement strategies for network utilization improvement, reducing network spend Remain apprised of regulatory changes, perform gap assessment, and lead efforts to implement new processes Lead process improvement initiatives for the provider experience Partner with Claims, Business Operations, Medical Management, and other areas to address ongoing needs and develop solutions Assist in development and implementation of quality improvement programs Understand various product lines to optimize Centene’s Commercial business

Requirements

• Bachelor’s degree in Business Administration or related field.
• 4+ years of project management, provider relations, or provider contract negotiation experience, preferably in the healthcare industry.
• Experience interfacing with healthcare providers preferred.

Nice To Haves

• Master’s degree preferred.

Responsibilities

• Support and manage enterprise network development strategy for multiple product lines.
• Lead efforts related to growth plans, maintenance and enhancement of provider relationships, and cost control.
• Develop and manage network development plans to achieve Centene’s growth objectives
• Analyze metrics and report on trends in provider reimbursement changes
• Identify and implement strategies for network utilization improvement, reducing network spend
• Remain apprised of regulatory changes, perform gap assessment, and lead efforts to implement new processes
• Lead process improvement initiatives for the provider experience
• Partner with Claims, Business Operations, Medical Management, and other areas to address ongoing needs and develop solutions
• Assist in development and implementation of quality improvement programs
• Understand various product lines to optimize Centene’s Commercial business

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees