Job Description

Centene is dedicated to improving the health and well-being of individuals in our communities. We believe in the power of each person to make a positive impact, and we are looking for someone to join our team and help us transform the lives of our 28 million members.

Position: Provider Network Director

Position Purpose: As a Provider Network Director, you will lead our efforts in building strong relationships with healthcare providers. You will develop strategies, analyze costs, and negotiate contracts to ensure our members have access to quality healthcare services.

Responsibilities:

• Establish the strategic vision, objectives, and policies for the department
• Set and maintain production and quality standards for the Contracting department
• Oversee the development of provider networks in new markets
• Analyze the provider network from a cost, coverage, and growth perspective
• Manage budgeting and forecasting for product lines and provider contracts
• Analyze claim trend data to support contract negotiations
• Review provider contracting rates to align with Company strategy
• Assist in analyzing provider contracts for market expansion and M&A activities
• Support provider relations and strategy for health plan leadership
• Ability to travel as needed

Requirements:

• Bachelor's degree in Business Administration, Healthcare Administration, or related field (MBA or MHA preferred)
• 10+ years of experience in managed care network development and provider relations/contracting management
• Prior experience in hiring, training, and managing staff
• Valid driver's license

Our Comprehensive Benefits Package includes:

• Flexible work options, including remote work and flexible schedules
• Competitive pay
• Paid time off, including holidays
• Health insurance coverage for you and your dependents
• 401(k) and stock purchase plans
• Tuition reimbursement and professional development opportunities

Centene is proud to be an equal opportunity employer. We value diversity and embrace the unique experiences and perspectives that each person brings. 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 any other characteristic protected by applicable law.