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Director, Payment Innovation

Role overview

Qualifications

  • 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

Responsibilities

  • Lead and support the design, development and execution of value-based purchasing payment innovation programs across Centene
  • Develop value-based purchasing model technical design and annual model updates
  • Support creation of new ideas and products to meet emerging customer needs
  • Lead creation, development and adoption of value proposition content and collaterals with support from stakeholders

Key facts

  • Remote from: Missouri (USA)
  • Full time
  • Senior (5-10 years)
  • Compensation Director
  • English

Hard skills

Other skills

  • Leadership
  • Coaching
  • Collaboration
  • Communication

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:

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.

Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.

  • 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

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
linkedin.com/in/marcusrivera
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