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Transforming the health of the communities we serve, one person at a time.
Director, Contracting – Network Development
Location
Pennsylvania
Posted
12 days ago
Salary
$141.5K - $261.4K / year
Seniority
Lead
Job Description
Director, Contracting – Network Development
Centene Corporation
• Oversee activities of the provider contracting, network development and/or provider relations functions • Aid in formulating and administering organizational policies and procedures • 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
Job 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
- Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements
- Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff
- Valid driver's license
- Applicants must be in the state of Pennsylvania to be considered for this role
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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