Senior Director, Strategic Provider Partnerships, Payment Innovation

🔥 1 minute ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $134.6k - $249k / year

⏰ Full Time

🟠 Senior

💰 Account Manager

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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

• Identify, build, and implement business strategies supporting provider network and product development initiatives • Build productive strategic provider relationships • Design, implement, and optimize innovative and value-based payment contracting strategies • Develop and execute the Strategic Payment Innovation/Value-Based Payment roadmap and approved initiatives • Drive adoption of value-based payment programs and lead negotiation support • Oversee and coordinate administration and reporting of value-based payment programs • Direct and supervise staff developing and implementing strategic provider partnership initiatives • Develop, recommend, and implement cross-functional plans and activities for strategic initiatives • Communicate insights, progress, challenges, and resolution scenarios • Track and report strategic partnerships, risk adjustment, tailored network development, and other activities to leadership teams

🎯 Requirements

• Bachelor’s degree in Business Administration, Healthcare Administration, Public Health Administration, or equivalent fields of study or equivalent experience • Master’s in Business Administration preferred • 10+ years of experience working in managed care for either a health plan, delegated provider organization, or Managed Service Organization • PMP certification preferred • Up to 10% travel or meetings required

🏖️ 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