Director, Contracting & Network Development

Centene Corporation is transforming the health of communities, serving 28 million members. The Director of Contracting & Network Development will lead the provider network for Ambetter Health Solutions, focusing on building and managing networks while ensuring compliance and efficiency.

Responsibilities

• 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

Skills

• 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
• Ability to travel

Benefits

• Competitive pay
• Health insurance
• 401K
• Stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• A flexible approach to work with remote, hybrid, field or office work schedules

Company Overview

• Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives. It was founded in 1984, and is headquartered in Saint Louis, MO, US, with a workforce of 10001+ employees. Its website is http://www.centene.com.