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Centene CorporationCC

Vice President, Network Development & Contracting

Centene Corporation is a leading healthcare enterprise committed to transforming the health of communities through high-quality and affordable healthcare solutions.

Centene Corporation

Employee count: 1001-5000

Salary: 180k-343k USD

India only

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Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.

Position Purpose: Direct the provider network and contracting activities. Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management. Oversee the coordination and negotiation for the contracting department.
  • Establish the department’s strategic vision, objectives, and policies and procedures.
  • Develop, implement and maintain production and quality standards for the Contracting department.
  • Oversee network development staff and external consultants in the development of provider networks across expansion markets.
  • Perform periodic analyses of the provider network from a cost, coverage, and growth perspective.
  • Provide leadership in evaluating opportunities to expand or change the network to meet Company goals.
  • Manage budgeting and forecasting initiatives for product lines to networks costs and provider contracts.
  • Oversee analysis of claim trend data and/or market information to derive conclusions to support contract negotiations.
  • Conduct periodic review of provider contracting rates to ensure strategic focus is on target with overall Company strategy.
  • Support market expansion and M&A activities by leading provider contract analysis related to due diligence.
  • Assist health plan CEO and/or COO vendors in key provider relations and strategy.
  • Ability to travel.

Education/Experience: Bachelor's Degree or equivalent experience in Business Administration, Healthcare Administration or related field required.

MBA or MHA degree preferred.

10+ years of experience in managed care network development and provider relations/contracting management in a health care and/or managed care environment required.
Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

Pay Range: $180,400.00 - $343,300.00 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

About the job

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Posted on

Job type

Full Time

Experience level

Salary

Salary: 180k-343k USD

Education

Bachelor degree
Postgraduate degree

Experience

10 years minimum

Experience accepted in place of education

Location requirements

Hiring timezones

India +/- 0 hours

About Centene Corporation

Learn more about Centene Corporation and their company culture.

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Centene Corporation is a leading healthcare enterprise dedicated to transforming the health of the communities it serves, one person at a time. Founded in 1984, Centene operates as a Managed Care Organization that provides access to high-quality healthcare solutions. The company serves a diverse population of over 28 million members across the United States by offering affordable and comprehensive healthcare services tailored to the unique needs of each individual. With a strong focus on Medicaid, Medicare, and the Health Insurance Marketplace, Centene remains committed to improving healthcare outcomes while ensuring that its programs are culturally sensitive and responsive to the communities served.

Centene's evolution began as a nonprofit Medicaid plan in Milwaukee, Wisconsin, founded by Elizabeth "Betty" Brinn, a former hospital bookkeeper who recognized the challenges faced by low-income individuals in accessing adequate healthcare. Under the leadership of CEO Sarah M. London, the company has expanded its reach through organic growth and strategic acquisitions, reaffirming its position as the largest Medicaid managed care organization in the U.S. Furthermore, Centene emphasizes local healthcare delivery by employing professionals who reflect the diversity of the populations they serve, ensuring individuals receive personalized care that meets their needs. Centene is also dedicated to corporate sustainability, focusing on removing health-related barriers and enhancing health equity through its community-driven initiatives.

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Centene Corporation

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