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Centene Corporation

Senior Director, Contracting & Network Development.

Posted One Month Ago
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Remote
Hiring Remotely in TX, USA
148K-274K Annually
Senior level
Remote
Hiring Remotely in TX, USA
148K-274K Annually
Senior level
Provides strategic leadership for provider contracting, network development, and network optimization across multiple health plan product lines. Oversees contract negotiations, market expansion, network adequacy, budgeting, provider relationships, team leadership, regulatory compliance, and operational improvements. Collaborates with executive stakeholders and cross-functional teams to launch new markets, address performance gaps, and achieve affordability and network access objectives.
The summary above was generated by AI

Position Purpose: Oversee the development and implementation of contracting activities in network development and enhancement.

Key Details: The Senior Director, Network Development & Contracting is responsible for providing strategic leadership, direction, and oversight of provider contracting, network development, and network optimization initiatives across multiple product lines. This role is accountable for developing and executing network strategies that support organizational growth, regulatory compliance, network adequacy, affordability objectives, and provider engagement goals. The Senior Director serves as a key business leader, collaborating with executive leadership and cross-functional stakeholders to develop innovative contracting solutions, strengthen provider partnerships, and drive operational excellence across the network development organization. The team prefers a candidate living in TX.

  • Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between health plan and vendors
  • Work with business development and providers to develop a strategy for developing new networks including plans to meet network access and unit cost objectives
  • Determine necessary resources to develop the network and assemble the appropriate team across all business functions.
  • Complete development of budget in alignment with Centene network management and financial objectives
  • Support the new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources
  • Lead the network development specialists during the implementation and development stages
  • Monitor performance, develop, and implement business solutions to address process and quality gaps.
  • Communicate with senior management and other Centene leaders regarding network strategy and planning
  • Complete negotiations with complex and major provider contracts as needed to support network objectives

Education/Experience: Bachelor’s degree in Healthcare Administration, Business Administration, related field or equivalent experience. 7+ years of related contracting or healthcare operations experience. Experience establishing new markets including the development of the strategy and oversight of the implementation.

Pay Range: $148,000.00 - $274,200.00 per year

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

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, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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

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