Organizational Performance Consultant
Indigo Slate
Vice President, Network Strategy and Management
Centene Corporation
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $223,200 - $422,900 per year
Job Level
Lead
About the role
- Responsible for developing and managing the provider network strategy for Centene Corporation
- Lead all aspects of provider network strategy including reimbursement strategy, contracting strategy, unit cost management, claims configuration and network operations
- Oversee network development staff and external consultants in the development of provider networks across expansion markets
- Lead health plans in periodic analyses of their provider networks from a cost, coverage, and growth perspective
- Provide leadership in evaluating opportunities to expand or change the network to meet Company goals
- Manage budgeting and forecasting initiatives for product lines to networks costs and provider contracts
- Oversee analysis of claim trend data and/or market information to derive conclusions to support contract negotiations
- Lead initiatives to ensure periodic review of provider contracting rates to ensure strategic focus is on target with overall Company strategy
- Lead development of fee schedules and rates for new and existing markets consistent with budget and premium revenue assumptions
- Support market expansion and M&A activities by leading provider contract analysis related to due diligence
- Assist health plan CEOs, network development, legal and finance teams in key provider contract negotiations and strategy
- Work collaboratively with Business Development on new market and new product development initiatives
Requirements
- Bachelor's Degree in Business Administration, Healthcare Administration or related field required
- MBA or MHA degree preferred
- 10+ years of experience in managed care network development
- 3+ years of experience in government programs
- Previous experience managing staff, including hiring, training, managing workload and performance
- Valid driver's license
- Ability to travel
