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Centene

Runs government-backed health insurance plans

Director Contracting & Network Development

Account ManagementConfirmed live in the last 24 hours
Full-timeMissouri, USA$134.6k - $249k /yr

About the Job

Requirements

  • A bachelor's degree in Business Administration, Health Care Administration, or a related field, or equivalent experience.
  • At least 7 years of combined contracting, network development, or provider relations experience.
  • Previous experience in Medicaid or Medicare contracting and negotiating hospital, large physician group, and ancillary service agreements.
  • Previous management experience, including hiring, training, assigning work, and managing staff performance.
  • A valid driver's license.
  • Applicants must be authorized to work in the United States without current or future employment-based visa sponsorship.
  • Applicants must reside in Missouri or close to the Missouri border.

Responsibilities

  • Own and execute provider network strategy across Missouri, assessing market needs, network performance, provider availability, and competitive dynamics to identify gaps and growth opportunities.
  • Analyze provider, network, and financial key performance indicators to identify performance, access, and medical cost opportunities and develop actionable strategies to address them.
  • Lead complex negotiations with hospitals, health systems, large physician groups, and providers, including contract terms, reimbursement, and redlines, while building provider relationships.
  • Support new business launches and market expansions by considering market dynamics, provider needs, budget, and available resources.
  • Lead, coach, and develop contracting and network teams, including hiring, performance management, coaching, and team development.
  • Oversee staff and external consultants supporting provider contracting and network development for new and expansion markets.
  • Monitor network and team performance, identify process and quality gaps, and implement solutions to improve results.
  • Communicate market strategy, network performance, and recommendations to internal leaders and provider-facing stakeholders.
  • Travel throughout Missouri for internal and provider-facing meetings as required.

About the Company

Centene

Runs government-backed health insurance plans

Centene runs government-backed health insurance plans in the United States, with Medicaid as its largest business alongside Medicare and Affordable Care Act Marketplace coverage. It is one of the largest Medicaid insurers in the country and also runs plans for people eligible for both Medicare and Medicaid, long-term care and children in foster care. States and the federal government pay Centene a set amount per member to manage care, and individuals buy its Ambetter Marketplace plans, often with federal subsidies. Centene contracts with local doctors, hospitals and pharmacies and keeps the difference between premiums and the cost of care. The company was founded in 1984 in Milwaukee and is headquartered in Clayton, Missouri.

Company size
10,001+
Company stage
IPO
Headquarters
Clayton, MO
Founded
1984

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