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Centene Corporation · 6 hours ago

Director, Contracting & Network Development

Missouri, United States

Full-time

Hybrid

Director/Executive

$145K/yr - $269K/yr

7+ years exp

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.

Hospital & Health Care

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

Qualification

Provider contractingNetwork developmentFinancial analysisMedicaid/Medicare experienceManagement experienceBusiness AdministrationHealth Care AdministrationStaff performance managementNegotiation skills