Job Description

** Job Opportunity: Provider Network Executive**

About us: At Centene, we are dedicated to improving the health of our communities and making a difference, one person at a time. Our team is passionate about transforming healthcare for our 28 million members.

Position Purpose: We are seeking an Executive to lead our provider network and contracting activities. In this role, you will oversee the strategy, operations, and decision-making related to provider network management, reimbursement, and cost management. Your responsibilities will also include coordinating and negotiating contracts for our organization.

Your key responsibilities:

• Strategic Vision: Establish the strategic vision, objectives, policies, and procedures for the department.
• Standards and Quality: Develop, implement, and maintain production and quality standards for the Contracting department.
• Network Development: Oversee the development of provider networks in expansion markets by managing network development staff and external consultants.
• Analysis and Evaluation: Perform periodic analyses of the provider network's cost, coverage, and growth. Identify opportunities to enhance the network to meet Company goals.
• Budget and Forecasting: Manage budgeting and forecasting initiatives for product lines. Monitor network costs and provider contracts.
• Contract Negotiations: Analyze claim trend data and market information to support contract negotiations. Conduct regular reviews of provider contracting rates aligned with Company strategy.
• M &A Support: Support market expansion and M&A activities by leading provider contract analysis for due diligence.
• Provider Relations: Assist health plan CEO and/or COO vendors in key provider relations and strategy.
• Travel: Ability to travel as needed for this role.

Your qualifications:

• Bachelor's degree or equivalent experience in Business Administration, Healthcare Administration, or related field. MBA or MHA degree preferred.
• At least 10 years of experience in managed care network development and provider relations/contracting management within a healthcare and/or managed care environment.
• Previous experience in management, including supervising staff, hiring, training, and performance management.
• Valid driver's license.

What we offer:

• Flexible work solutions, including remote options, hybrid work schedules, and dress flexibility.
• Competitive pay and comprehensive benefits package.
• Paid time off, including holidays.
• Health insurance coverage for you and your dependents.
• 401(k) and stock purchase plans.
• Tuition reimbursement and best-in-class training and development opportunities.

Our commitment to diversity:

Centene is an equal opportunity employer that values diversity and celebrates our differences. We are committed to providing equal employment opportunities to all individuals, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by applicable law.

If you are interested in joining our team and making a meaningful impact in the lives of our members, please submit your application below. We look forward to hearing from you!