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
Job title
Senior Director, Contracting & Network Development
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