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Director, Payment Innovation

Role overview

Qualifications

  • Minimum of 7 years of experience in Health Care Administration, Policy, Provider Engagement or related field
  • Bachelor's degree in Health Care Administration, Policy, Provider Engagement or related field or equivalent work experience
  • Master's of Business Administration (MBA), Master's of Health Administration (MHA) or other advanced degree preferred

Responsibilities

  • Lead and support the design, development and execution of value-based purchasing (VBP) payment innovation programs
  • Develop value-based purchasing model technical design and annual model updates
  • Support creation of new ideas and products to meet emerging customer needs
  • Lead and support value-based purchasing training and coaching across Centene

About the company

Centene Corporation logo

Centene Corporation

Centene Corporation provides high-quality healthcare services to members in all 50 states. Since its founding in 1984, Centene has worked to transform the health of communities, one person at a time. Centene is the largest Medicaid managed care organization in the country and provides a portfolio of services to government sponsored healthcare programs. Centene believes that healthcare is best delivered locally. Our local health plans offer a range of health insurance solutions with a focus on providing accessible care to uninsured and under-insured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans). Centene also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services. Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/

Company details

Company typeXLarge
Company size10001

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Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Position Purpose: Lead and support the design, development and execution of value-based purchasing (VBP) & payment innovation programs across Centene. This role will directly support the achievement of goals and metrics related to payment innovation.

  • Develop value-based purchasing model technical design & annual model updates. Support creation of new ideas and products to meet emerging customer needs
  • Develop value-based purchasing performance management and tracking processes/tools
  • Lead creation, development and adoption of value proposition content & collaterals with support from stakeholders
  • Lead and support value-based purchasing training & coaching across Centene including Markets and Product organizations
  • Responsible for understanding state requirements/needs to support request for proposal (RFP) and re-procurement responses (Medicaid)
  • Responsible for business ownership for tools & technology that support value-based purchasing programs/models. Provide technical support and direction to IT & Analytics teams.

Education and Experience: Minimum of 7 years of experience in Health Care Administration, Policy, Provider Engagement or other related field required. Bachelor's degree in Health Care Administration, Policy, Provider Engagement or other related field required or equivalent work experience in lieu of Bachelor's degree. Master's of Business Administration (MBA), Master's of Health Administration (MHA) or other advanced degree preferred.

This is a remote position open to someone working anywhere in the United States. It will require up to 10% travel for internal and provider-facing meetings.

Pay Range: $148,000.00 - $274,200.00 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

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Marcus Rivera

Chief Revenue Officer

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