Director, Contracting & Network Development

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🔥 0 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $141.5k - $261.4k / year

⏰ Full Time

🔴 Lead

👔 Director

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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

• Oversee provider contracting, network development and/or provider relations functions • Formulate and administer organizational policies and procedures • Oversee provider contracting activities for efficiency and compliance with business-unit policies, standards, laws and regulations • Develop recruitment and contracting activities for provider networks in new, prospective and expanding markets • Support new business launches while considering market circumstances, provider community, budgeting constraints and available resources • Perform complex financial analyses to identify medical cost improvement opportunities • Develop strategies to reach financial goals and execute contracting strategies • Oversee contracting and network development staff and external consultants • Monitor performance and implement business solutions addressing process and quality gaps • Communicate network strategy and planning • Travel regularly for internal and provider-facing meetings

🎯 Requirements

• Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience • 7+ years of combined contracting, network development or provider relations experience • Previous experience in Medicaid/Medicare contracting • Experience negotiating hospital, large physician group and ancillary service agreements • Previous management experience, including hiring, training, assigning work and managing staff performance • Ability to travel • Valid driver's license • Applicants must be in the state of Missouri

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation