VP, Network Strategy – Management Solutions

🔥 16 hours ago

🏄 California, Florida, +3 more states – Remote

🏄 California – Remote 🐊 Florida – Remote 🗽 New York – Remote 🏰 Missouri – Remote 🤠 Texas – Remote

💵 $171.9k - $326.9k / year

⏰ Full Time

🔴 Lead

👔 Vice President

👻 Ghost score 0%

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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

• Lead strategy development and execution for the growing ICHRA product • Build provider networks with dedicated rates across current and future markets for Centene employees and external members • Expand provider network development and value-based contracting activities • Assist with value-based contracting provider network strategy • Negotiate provider contracts and develop new value-based models • Drive provider performance related to quality and reduction of avoidable healthcare costs • Assist with provider performance meeting preparation • Support decision makers with analysis of historical and projected provider performance • Develop relationships in multiple markets with key providers, provider associations, and provider stakeholders • Lead negotiations with hospitals, physicians, ancillary providers, and community health centers • Develop and implement network development strategy plans with key providers in multiple markets • Oversee provider network development across expansion markets • Manage budgeting and forecasting for stakeholder/network strategies, product lines, network costs, and provider contracts • Develop, coordinate, and manage provider advisory boards, committees, and governance • Maintain relationships with key provider leadership • Assist and advise on provider relations and strategies • Evaluate opportunities to expand or change networks to meet company goals • Perform other assigned duties

🎯 Requirements

• Bachelor's Degree in Business, Management, Healthcare Administration, or related field required • MBA preferred • 10+ years of healthcare administration, network development, or provider/payor contracting experience in a healthcare or managed care environment required • Experience with provider network development and strategy • Experience with provider contract negotiations • Experience leading network development staff • Experience with unit cost and network strategy budgeting • Previous management experience, including hiring, training, assigning work, and managing staff performance • Equivalent experience may be accepted through applicable knowledge, duties, scope, and skills reflective of the position level • Compliance with all policies and standards

🏖️ Benefits

• Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off • Paid holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation