Offer summary

Qualifications:

Bachelor's Degree in Business Administration, Healthcare Administration, or related field; MBA or MHA preferred., Over 10 years of experience in network development, provider relations, or contracting management within healthcare or managed care., Previous management experience including hiring, training, and performance management., Must reside in or be willing to relocate to Texas..

Key responsibilities:

Oversee provider network and contracting activities, including strategy and operations.

Lead negotiations and analysis for contract development and provider relations.

Support market expansion, network development, and M&A activities through provider contract analysis.

Manage budgeting, forecasting, and review of provider contracts to align with company strategy.

Job description

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.

Position Purpose: Oversee provider network and contracting related activities. Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management.

Oversee the coordination and negotiation for the contracting department, including analysis of various information to support contract negotiations
Ensure development of provider networks across expansion markets
Evaluate provider network cost, coverage, and growth and recommend expansion opportunities
Oversee budgeting and forecasting initiatives for various product lines to networks costs and provider contracts
Review provider contracting rates to ensure strategic focus is on target with overall company strategy
Participate in unit cost and selective contracting initiatives
Establish the department’s strategic vision, objectives, and policies and procedures, including developing, implementing, and maintaining production and quality standards
Support market expansion and M&A activities by leading provider contract analysis related to due diligence
Assist health plan CEO and/or COO vendors in key provider relations and strategy
Performs other duties as assigned
Complies with all policies and standards

Education/Experience: Bachelor's Degree or equivalent, in Business Administration, Healthcare Administration or related field required. MBA or MHA degree preferred. 10+ years of network development and provider relations or contracting management in a health care or managed care environment required. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

Must reside in and/or relocate to a location in TX.

Licenses/Certifications:
Valid driver’s license

Pay Range: $231,900.00 - $440,500.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Required profile