Director, Contracting & Network Development

Centene
Missouri, St. Louis
Workplace: RemoteFull timeUSD 141,500 - 261,400 annuallyFunction: Executive & General ManagementExperience: 7+ yearsEducation: bachelorsSkills: ["Leadership","Compliance management","Negotiation","Financial analysis","Process improvement"]

Oversee provider contracting and network development activities to ensure compliance with organizational standards and government regulations. Lead recruitment and contracting of provider networks for new and expanding markets, support business launches, and perform complex financial analyses to identify medical cost improvement opportunities. Manage contracting and network development staff and external consultants, monitor performance and quality gaps, and communicate network strategy and planning. This remote role requires regular travel for internal and provider-facing meetings, with a home office in the St. Louis, MO area.

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FursaFursa
Centene
Centene
4 days ago

Director, Contracting & Network Development

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Job Summary

Oversee provider contracting and network development activities to ensure compliance with organizational standards and government regulations. Lead recruitment and contracting of provider networks for new and expanding markets, support business launches, and perform complex financial analyses to identify medical cost improvement opportunities. Manage contracting and network development staff and external consultants, monitor performance and quality gaps, and communicate network strategy and planning. This remote role requires regular travel for internal and provider-facing meetings, with a home office in the St. Louis, MO area.
Location: Missouri, St. Louis
Workplace: Remote
Employment Type: Full time
Job Function: Executive & General Management
Seniority: Director level

Key Responsibilities

  • •Oversee provider contracting activities to ensure efficiency and compliance with business unit policies, standards, and applicable laws and regulations.
  • •Implement network development activities to recruit and contract provider networks for new and prospective markets and support existing market expansions.
  • •Support new business launches in diverse markets by accounting for market circumstances, provider community, budgeting constraints, and available resources.
  • •Perform complex financial analyses to identify medical cost improvement opportunities and develop and execute contracting strategies to meet financial goals.
  • •Oversee contracting and network development staff and external consultants to develop provider networks; monitor performance and implement business solutions for process and quality gaps while communicating network strategy and planning.
Travel: Medium travel

Pay and Benefits

Salary: USD 141,500 - 261,400 annually
Perks:Health Insurance401kEquityPaid LeaveRemote Work

Key Requirements

  • •Bachelor’s degree in Business Administration, Health Care Administration, related field, or equivalent experience.
  • •7+ years of combined contracting, network development, or provider relations experience.
  • •Experience with Medicaid/Medicare contracting and negotiating hospital, large physician groups, and ancillary service agreements.
  • •Previous management experience, including hiring, training, assigning work, and managing staff performance.
  • •Valid driver's license.
Experience:7+ yearsHealthcareMedicaidMedicareProvider contractingNetwork developmentProvider relations
Education:Bachelor's in Business Administration or Health Care Administration
Skills:LeadershipCompliance managementNegotiationFinancial analysisProcess improvement
Licenses:Valid driver's license

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