Centene Corporation
Centene Corporation
„Centene Corporation“ yra sveikatos priežiūros ir draudimo bendrovė, daugiausia dėmesio skirianti valstybės remiamam draudimui ir bendruomenių sveikatai. Jos paslaugos apima „Medicaid“, „Medicare“, „Health Insurance Marketplace“ planus ir TRICARE paramą kariuomenės bendruomenėms. „Centene“ derina vietos lygmeniu teikiamą priežiūrą su partneryste su ne pelno organizacijomis, kad patenkintų aptarnaujamų narių poreikius. Vykdydama veiklą ir remdama bendruomenes, bendrovė taip pat atsižvelgia į aplinkosaugą ir etišką valdymą.

Vice President, Network Development and Contracting – Florida Remote

Lead provider network strategy and contracting for Centene’s Florida health plans in a remote executive role. Direct negotiations, network expansion, reimbursement analysis, budgeting, and provider relations.

Aprašymas

  • Direct provider network and contracting operations
  • Shape network strategy through access analysis and operational oversight
  • Provide reimbursement and unit-cost analysis to inform business decisions
  • Coordinate contracting activities and lead negotiation efforts
  • Evaluate data to support provider contract negotiations
  • Guide provider network development across expansion markets
  • Assess network cost, coverage, and growth to identify expansion opportunities
  • Oversee budgeting and forecasting for product-line network costs and provider contracts
  • Review provider contracting rates against company strategy
  • Contribute to unit-cost management and selective contracting programs
  • Set the department’s strategic direction, objectives, policies, and procedures
  • Create and maintain production and quality standards
  • Support market expansion and M&A due diligence through provider contract analysis
  • Advise health plan CEOs and COOs, along with vendors, on provider relations and strategy
  • Handle additional responsibilities as assigned
  • Follow applicable company policies and standards

Reikalavimai

  • Bachelor’s degree or equivalent in business administration, healthcare administration, or a related field
  • At least 10 years of network development, provider relations, or contracting management experience in healthcare or managed care
  • Management experience that includes hiring, training, work allocation, and staff performance management
  • Relevant knowledge and experience demonstrating the required scope and skill level may be accepted in lieu of stated qualifications
  • Experience contracting for Medicaid, Medicare, and Marketplace lines of business in Florida is preferred
  • Valid driver’s license
  • MBA or MHA is preferred

Privalumai

  • Competitive compensation
  • Health insurance
  • 401(k) plan
  • Employee stock purchase plans
  • Tuition reimbursement
  • Paid time off and holidays
  • Flexible remote, hybrid, field, or office work arrangements
  • Additional incentives may form part of total compensation
  • Equal opportunity employment
  • Qualified applicants with arrest or conviction records will be considered in accordance with applicable law

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