Vice President, Network Development & Contracting
At a glance
VP-level role at Centene. Remote, United States · full-time · $180,400–$343,300 base.
remoteroles summary, based on the employer's posting.
What you'll do
- Set provider network strategy, using access analysis, network operations and reimbursement data to guide decisions
- Lead provider contract negotiations and establish the contracting department’s goals, policies and quality standards
- Direct staff and consultants building provider networks in expansion markets, and assess network cost, coverage and growth
- Use claims trends and market information to shape negotiations, review provider rates and manage network cost forecasts
- Guide provider contract analysis for market expansion and acquisitions, and support senior health plan leaders on provider strategy
What you bring
- At least ten years managing provider relations, contracting or network development in managed care or healthcare
- A business, healthcare administration or related degree, or equivalent experience
- Prior people-management experience covering hiring, training, work assignment and performance
Who this fits
This executive role suits someone who has led provider contracting and network development teams. It is remote in the United States and requires travel.
From the employer
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
- Establish the department’s strategic vision, objectives, and policies and procedures.
- Develop, implement and maintain production and quality standards for the Contracting department.
- Oversee network development staff and external consultants in the development of provider networks across expansion markets.
- Perform periodic analyses of the provider network from a cost, coverage, and growth perspective.
- Provide leadership in evaluating opportunities to expand or change the network to meet Company goals.
- Manage budgeting and forecasting initiatives for product lines to networks costs and provider contracts.
- Oversee analysis of claim trend data and/or market information to derive conclusions to support contract negotiations.
- Conduct periodic review of provider contracting rates to ensure strategic focus is on target with overall Company strategy.
- Support market expansion and M&A activities by leading provider contract analysis related to due diligence.
- Assist health plan CEO and/or COO vendors in key provider relations and strategy.
- Ability to travel.
Education/Experience: Bachelor's Degree or equivalent experience in Business Administration, Healthcare Administration or related field required.
MBA or MHA degree preferred.
10+ years of experience in managed care network development and provider relations/contracting management in a health care and/or managed care environment required.
Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
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