Senior Director, Contracting & Network Development

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🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $134.6k - $249k / year

⏰ Full Time

🟠 Senior

👔 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 the development and implementation of contracting activities in network development and enhancement • Direct evaluation, review, negotiations, and ongoing management of product-specific contracts and amendments between health plans and vendors • Work with business development and providers to develop strategies for new networks meeting network access and unit cost objectives • Determine necessary resources and assemble appropriate cross-functional teams • Develop budgets aligned with network management and financial objectives • Support new business launches in diverse markets while considering market circumstances, provider communities, budget constraints, and available resources • Lead network development specialists during implementation and development stages • Monitor performance and implement solutions addressing process and quality gaps • Communicate network strategy and planning to senior management and Centene leaders • Negotiate complex and major provider contracts as needed • Perform other assigned duties and comply with policies and standards

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Business Administration, related field or equivalent experience • 7+ years of related contracting or healthcare operations experience • Experience establishing new markets, including strategy development and implementation oversight • Candidates must be in the state of Florida • Ability to travel occasionally, around 10%, for internal and provider-facing meetings

🏖️ 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