Lead cross - functional submission teams in the delivery of major marketing submissions for innovative medicines. Collaborate with regulatory and project management teams to ensure operational success and quality.
About the role
- Senior Director overseeing contracting activities and network development at Centene. Leading negotiations and strategy implementation for healthcare operations and provider relationships.
Responsibilities
- Oversee the development and implementation of contracting activities in network development and enhancement.
- Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between health plan and vendors
- Work with business development and providers to develop a strategy for developing new networks including plans to meet network access and unit cost objectives
- Determine necessary resources to develop the network and assemble the appropriate team across all business functions.
- Complete development of budget in alignment with Centene network management and financial objectives
- Support the new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources
- Lead the network development specialists during the implementation and development stages
- Monitor performance, develop, and implement business solutions to address process and quality gaps.
- Communicate with senior management and other Centene leaders regarding network strategy and planning
- Complete negotiations with complex and major provider contracts as needed to support network objectives
- Performs other duties as assigned
- Complies with all policies and standards
Requirements
- Bachelor’s degree in Healthcare Administration, Business Administration, related field or equivalent experience
- 7+ years of related contracting or healthcare operations experience
- Experience establishing new markets including the development of the strategy and oversight of the implementation.
- Candidates must be in Florida 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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