Director, Contracting – Network Development

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🔥 10 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $141.5k - $261.4k / year

⏰ Full Time

🔴 Lead

👔 Director

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

Healthcare Insurance • Non-profit • Social Impact

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 activities of the provider contracting, network development and/or provider relations functions • Aid in formulating and administering organizational policies and procedures • Oversee provider contracting activities to ensure efficiency and maintain compliance with the business unit’s policies and standards, government laws and regulations • Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions • Support new business launch in diverse markets while considering individual 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 to meet goals and objectives • Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets • Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning • Ability to travel

🎯 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 and negotiating hospital, large physician groups and ancillary service agreements • Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff • Valid driver's license • Applicants must be in the state of Pennsylvania to be considered for this role

🏖️ 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