Vice President, Network Development – Contracting

🔥 0 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $188.9k - $359.8k / year

⏰ Full Time

🔴 Lead

👔 Vice President

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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

• Direct provider network and contracting activities • Lead provider network strategy, including access analysis, network operations, reimbursement analysis, and unit cost management • Oversee coordination and negotiation for the contracting department • Establish the department’s strategic vision, objectives, policies, and procedures • Develop, implement, and maintain production and quality standards for the Contracting department • Oversee network development staff and external consultants developing provider networks across expansion markets • Analyze provider networks from cost, coverage, and growth perspectives • Evaluate opportunities to expand or change the network to meet Company goals • Manage budgeting and forecasting initiatives for product-line network costs and provider contracts • Oversee analysis of claims trend data and market information to support contract negotiations • Review provider contracting rates to ensure alignment with overall Company strategy • Support market expansion and M&A activities through provider contract analysis for due diligence • Assist health plan CEOs and/or COOs, vendors, in key provider relations and strategy • Travel up to 25% • Perform other assigned duties and comply with policies and standards

🎯 Requirements

• Bachelor’s Degree or equivalent experience in Business Administration, Healthcare Administration, or a related field required • MBA or MHA degree preferred • 10+ years of experience in managed care network development and provider relations/contracting management in a healthcare and/or managed care environment required • Previous management experience, including hiring, training, assigning work, and managing staff performance • Equivalent experience acquired through applicable knowledge, duties, scope, and skills reflective of the position level • Ability to travel up to 25%

🏖️ 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