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Centene is transforming the health of our communities one person at a time.  As an Executive on our team, you could be the one who changes everything for our 28 million members.
 

Position Purpose:

Expand the provider network development and value based contracting activities. Assist with value based contracting provider network strategy, including provider contract negotiation, development of new value-based models, drive provider performance related to quality and reduction of avoidable healthcare costs, assist with preparation for provider performance meetings, and support decision makers with analysis related to historical and projected provider performance.

Below relates to value based efforts only:

• Develop relationships in multiple markets and implement strategies with key providers, provider associations and provider stakeholders
• Lead key provider negotiations with Hospitals, Physicians, Ancillaries, and Community Health Centers
• Develop and implement network development strategy plans with key providers in multiple markets
• Oversee the development of provider networks across expansion markets
• Manage budgeting and forecasting initiatives for stakeholder/network strategies, product lines, networks costs, and/or provider contracts
• Develop, coordinate and managed provider advisory boards, committee’s and governance and maintain relationships with key provider leadership
• Assist and advise on key provider relations and strategies
• Evaluating opportunities to expand or change the network to meet company goals

Education/Experience:

Bachelor's degree in Business, Management, Healthcare Administration, or related field. MBA preferred.

10+ years of healthcare administration, network development, or provider/payor contracting experience in a healthcare or managed care environment.

Provider network development and strategy, provider contract negotiations, leading network development staff, unit cost and network strategy budgeting.

Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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 other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act