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Senior Director, Contracting & Network Development.

Role overview

Qualifications

  • Bachelor’s degree in Healthcare Administration, Business Administration, or related field
  • 7+ years of related contracting or healthcare operations experience
  • Experience establishing new markets including strategy development and oversight of implementation

Responsibilities

  • Oversee the development and implementation of contracting activities in network development and enhancement
  • Direct the evaluation, review, negotiations and ongoing management of product-specific contracts
  • Develop and execute network strategies that support organizational growth and regulatory compliance
  • Communicate with senior management and other leaders regarding network strategy and planning

Key facts

  • Remote from: Texas (USA)
  • Full time
  • Senior (5-10 years)
  • English

Hard skills

Other skills

  • Communication
  • Problem Solving

About the company

Centene Corporation logo

Centene Corporation

Health Insurance (Payers)

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
IndustryHealth Insurance (Payers)
Company size10001

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Job description

Position Purpose: Oversee the development and implementation of contracting activities in network development and enhancement.

Key Details: The Senior Director, Network Development & Contracting is responsible for providing strategic leadership, direction, and oversight of provider contracting, network development, and network optimization initiatives across multiple product lines. This role is accountable for developing and executing network strategies that support organizational growth, regulatory compliance, network adequacy, affordability objectives, and provider engagement goals. The Senior Director serves as a key business leader, collaborating with executive leadership and cross-functional stakeholders to develop innovative contracting solutions, strengthen provider partnerships, and drive operational excellence across the network development organization. The team prefers a candidate living in TX.

  • Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between health plan and vendors
  • Work with business development and providers to develop a strategy for developing new networks including plans to meet network access and unit cost objectives
  • Determine necessary resources to develop the network and assemble the appropriate team across all business functions.
  • Complete development of budget in alignment with Centene network management and financial objectives
  • Support the new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources
  • Lead the network development specialists during the implementation and development stages
  • Monitor performance, develop, and implement business solutions to address process and quality gaps.
  • Communicate with senior management and other Centene leaders regarding network strategy and planning
  • Complete negotiations with complex and major provider contracts as needed to support network objectives
Education/Experience: Bachelor’s degree in Healthcare Administration, Business Administration, related field or equivalent experience. 7+ years of related contracting or healthcare operations experience. Experience establishing new markets including the development of the strategy and oversight of the implementation.Pay Range: $148,000.00 - $274,200.00 per year

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

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

m.rivera@company.com
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