Vice President, Network Development – Contracting

🕒 May 19

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $180.4k - $343.3k / year

⏰ Full Time

🔴 Lead

👔 Vice President

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Direct the provider network and contracting activities • Lead all aspects of provider network strategy including, access analysis, network operations • Support decision makers with analysis related to reimbursement and unit cost management • Oversee the coordination and negotiation for the contracting department • 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

🎯 Requirements

• 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

🏖️ Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules