Vice President, Network Development & Contracting

Centene
Missouri
Workplace: RemoteFull timeUSD 188,900 - 359,800 annuallyFunction: Executive & General ManagementEducation: bachelorsSkills: ["Leadership","Negotiation","Strategic planning","Analytics","People management"]

Lead provider network development and contracting strategy, including access analysis, network operations, and reimbursement/unit cost decision support. Oversee contracting negotiations, strategic vision, policies, and production/quality standards. Manage network development staff and consultants across expansion markets, run cost/coverage/growth analyses, and guide market expansion and M&A provider contract due diligence. Provide support to senior health plan leaders and manage budgeting/forecasting for network costs.

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FursaFursa
Centene
Centene
1 day ago

Vice President, Network Development & Contracting

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Last checked: 11 hours agoStatus: Live

Job Summary

Lead provider network development and contracting strategy, including access analysis, network operations, and reimbursement/unit cost decision support. Oversee contracting negotiations, strategic vision, policies, and production/quality standards. Manage network development staff and consultants across expansion markets, run cost/coverage/growth analyses, and guide market expansion and M&A provider contract due diligence. Provide support to senior health plan leaders and manage budgeting/forecasting for network costs.
Location: Missouri
Workplace: Remote
Employment Type: Full time
Job Function: Executive & General Management
Seniority: Sr. Director level

Key Responsibilities

  • •Direct provider network and contracting activities, including provider network strategy, access analysis, and support for decision makers on reimbursement and unit cost management.
  • •Oversee coordination, negotiation, and contracting department strategic vision, objectives, policies, and procedures.
  • •Develop, implement, and maintain production and quality standards for the contracting department.
  • •Oversee network development staff and external consultants; perform periodic cost, coverage, and growth analyses and evaluate opportunities to expand or change the network.
  • •Manage budgeting and forecasting for network costs and provider contracts; support claim trend and market analysis for contract negotiations and assist with market expansion and M&A provider contract due diligence.
Travel: Medium travel

Pay and Benefits

Salary: USD 188,900 - 359,800 annually
Perks:Health Insurance401kEquityLearning BudgetPaid Leave

Key Requirements

  • •Bachelor's Degree (or equivalent) in Business Administration, Healthcare Administration, or related field.
  • •10+ years of experience in managed care network development and provider relations/contracting management in a healthcare or managed care environment.
  • •Previous management experience including hiring, training, assigning work, and managing staff performance.
  • •Experience evaluating reimbursement and unit cost management using analysis to support contracting decisions.
Experience:Managed careHealthcare
Education:Bachelor's
Skills:LeadershipNegotiationStrategic planningAnalyticsPeople management

Company Brief

Centene
Centene Corporation is a diversified, multinational healthcare enterprise that provides government-sponsored and commercial healthcare programs and services, specializing in Medicaid, Medicare, and specialty benefits management across the United States.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: St. Louis, United States
Founded: 1984
WebsiteLinkedIn