Centene Corporation · 4 hours ago

Director, Contracting & Network Development

Full-time

Remote

Director/Executive

$142K/yr - $264K/yr

7+ years exp

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Hospitals and Health Care

Actively Hiring

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Responsibilities

Oversee provider contracting activities to ensure efficiency and maintain compliance with the business unit’s policies and standards, government laws and regulations

Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions.

Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources

Perform complex financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial goals, and execute contracting strategies to meet goals and objectives

Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets

Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning

Ability to travel

Qualification

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Provider contractingNetwork developmentProvider relationsMedicaid/Medicare contractingComplex financial analysisManagement experienceHealth Care AdministrationHiring