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Vice President, Network Strategy & Management

Company: Centene Corporation
Location: Clearwater
Posted on: September 5, 2019

Job Description:

Position Purpose: Responsible for developing and managing the provider network strategy for Centene Corporation. Lead all aspects of provider network strategy including, but not limited to 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 (includes physicians, hospitals and ancillaries). 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 Ability to travelEducation/Experience: Bachelor's degree in Business Administration, Healthcare Administration or related field. 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. License/Certification: Valid driver's license.We are open to this role being based in any one of the following offices: Rocky Mount, NC - Raleigh, NC - Tampa, FL.? Remote/Telecommute is not available.??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.

Keywords: Centene Corporation, Clearwater , Vice President, Network Strategy & Management, Executive , Clearwater, Florida

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