Senior Director, Contracting & Network Development

🕒 August 18

🐊 Florida – Remote

infoinfo

💵 $134.6k - $249k / year

⏰ Full Time

🟠 Senior

👔 Director

👻 Ghost score 36%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Centene Corporation

Centene Corporation

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 the development and implementation of hospital provider contracting activities in network development and enhancement • Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between health plan and hospitals, including Medicare, Medicaid, Marketplace, and ICHRA • Work with business development and providers to develop strategies for new networks and partnership strategies • Develop plans to meet network access and unit cost objectives • Support new business launches in diverse markets while considering market circumstances, provider community, budgeting constraints and available resources • Monitor performance and implement business solutions to address process and quality gaps • Communicate with senior management and other Centene leaders regarding network strategy and planning • Complete negotiations and re-negotiations with complex and major hospital systems • Maintain hospital network and contract reporting, including contract language assessments by product and claims volume • Perform other duties as assigned • Comply with all policies and standards • Travel occasionally throughout Florida for internal and provider-facing meetings

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Bachelor’s degree in Healthcare Administration, Business Administration, related field or equivalent experience • 7+ years of related hospital contracting experience • Experience establishing new markets including the development of the hospital network strategy and oversight of the implementation • Candidates must be in Florida to be considered for this role • Master's degree is preferred

🏖️ 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 • Equal opportunity employer committed to diversity

Apply Now

Similar Jobs

🕒 August 18

SonicWall

1001 - 5000

💼 Consulting

📦 Logistics

🔒 Cybersecurity

Senior Director leading SonicWall’s cybersecurity hardware architecture and global engineering teams. Driving firewall, appliance, switch, and access-point development with software, product, and JDM/ODM partners.

🕒 August 18

Regeneron

10,000+ employees

🏥 Healthcare

🏭 Manufacturing

🧬 Biotechnology

Associate Director advancing hematology medical affairs for Regeneron, a biotechnology medicines company. Engaging experts, supporting clinical trials, and shaping strategy across the assigned U.S. territory.

🕒 August 18

Otsuka Pharmaceutical Companies (U.S.)

1001 - 5000

💊 Pharmaceuticals

🏥 Healthcare

🧬 Biotechnology

Senior Director shaping Otsuka’s rare neurology medical strategy and medicine launches. Leading evidence generation, scientific communications, and cross-functional global medical affairs planning for ALS assets.

🕒 August 18

Clinical Outcomes Solutions

51 - 200

💼 Consulting

🏥 Healthcare

🧬 Biotechnology

Associate Director leading epidemiological statistical programming and real-world evidence analyses for Cytel’s pharmaceutical clients. Developing reproducible SAS/R outputs, standards, and programming talent across therapeutic areas.

🕒 August 17

CSL

10,000+ employees

🏥 Healthcare

🧬 Biotechnology

💊 Pharmaceuticals

Senior Director leading US payer access and formulary strategy for CSL Behring’s innovative biotherapeutics. Managing national accounts, pricing, contracting, and cross-functional market access teams.