Centene Corporation · 4 hours ago
Provider Network Manager
United States
Full-time
Remote
Mid, Senior Level
$88K/yr - $158K/yr
5+ years expCentene Corporation is transforming the health of communities across the United States. The Provider Network Manager is responsible for managing provider networks, conducting negotiations, monitoring network adequacy, and developing contracting strategies.
Hospital & Health Care
No H1B
Responsibilities
Manages provider networks for adequacy and access
Conducts high level negotiations and renegotiations of provider contracts
Monitors network adequacy and resolves hospital provider claim issues
Provides regional input and maintenance of provider directory listings
Participates in monthly internal/external meetings involving network activity
Monitors areas credentialing process
Develops provider contracting strategy
Oversees network development and retention strategizing
Oversees network problem resolution (Claims, UM, Etc.)
Oversees network analysis for adequacy and recruitment targets
Oversees provider contract negotiations – hospitals, ancillaries, and groups
Provides financial analysis for network development targets
Performs other duties as assigned
Complies with all policies and standards
Qualification
Required
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
Bachelor's Degree required
Five to seven years in administration and/or negotiation of managed care contracts
Preferred
Master's degree preferred (MBA, MHA)
Benefits
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Company
Centene Corporation
Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Beth Johnson
President and CEO, Coordinated Care
Clyde White
President & CEO (New Hampshire Healthy Families)
Recent News
Business Journals
2024-05-06
FierceHealthcare
2024-04-28
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