Senior Director, Contracting & Network Development

This is a fully remote position, open to applicants in Texas.

📋 Description

• Supervise the development and execution of contracting activities related to network development and enhancement.

• Provide strategic leadership, guidance, and oversight on provider contracting, network development, and network optimization initiatives across various product lines.

• Formulate and implement network strategies that support organizational growth, ensure regulatory compliance, maintain network adequacy, meet affordability objectives, and achieve provider engagement goals.

• Work collaboratively with executive leadership and cross-functional stakeholders to create contracting solutions and strengthen partnerships with providers.

• Direct the evaluation, review, negotiation, and ongoing management of product-specific contracts and amendments between the health plan and vendors.

• Develop strategies for new networks in collaboration with business development and providers to achieve network access and unit cost objectives.

• Identify resources and assemble teams from various business functions.

• Create budgets that align with Centene's network management and financial goals.

• Support new business initiatives in diverse markets.

• Lead network development specialists during the implementation and development phases.

• Monitor performance and execute solutions to address process and quality gaps.

• Communicate network strategy and planning to senior management and Centene leadership.

• Negotiate complex and significant provider contracts as required.

⛳️ Requirements

• Bachelor’s degree in Healthcare Administration, Business Administration, a related field, or equivalent experience.

• Over 7 years of relevant contracting or healthcare operations experience.

• Proven experience in establishing new markets, including strategic development and oversight of implementation.

• Preferred candidate should reside in Texas.

• Capability to oversee provider contracting, network development, and network optimization initiatives.

• Experience in negotiating complex and major provider contracts.

• Understanding of network access, unit cost objectives, network adequacy, regulatory compliance, affordability goals, and provider engagement.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement program.

• Paid time off plus holidays.

• Flexible work options, including remote, hybrid, field, or office schedules.

• Additional incentive forms may be included in total compensation.

• Equal opportunity employer dedicated to diversity.