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Senior Manager, Contracting and Network Development

Centene

Location: USA-Florida-Tampa, USA-Texas-Austin, USA-Texas-Dallas
Type: Non-Remote
Posted on: October 20, 2021
This job is no longer available from the source.
Submission for the position: Senior Manager, Contracting and Network Development - (Job Number: 1256991)
https://centene.taleo.net/careersection/jobdetail.ftl?job=1256991&lang=en
Senior Manager, Contracting and Network Development
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:  Player coach that oversees network management activities including network development, provider relations, and provider data analytics for new and existing market expansions and national contracting. Develop, implement, evaluate, and improve operational models aligned with strategic initiatives and compliant with accreditation, legislative and regulatory requirements. Responsible for overseeing the development of reports to support quality member outcomes, provider recruitment, provider retention, and contracting initiatives.
• Develop and drive uniformity, efficiencies and consistencies within Provider Network Management promoting
• Manage daily activities of staff, including network development, provider relations, and provider data analytics
• Oversee quality assurance processes and reporting to ensure compliance with accreditation, federal and state regulatory requirements including access and availability and demographic reporting related to providers
• Establish and maintain strong relationships with other divisions to ensure that provider network management activities are linked appropriately to other applicable areas of the organization
• Implement and manage development of documented provider network management policies and procedures
• Oversee quality audits and compliance reporting across all areas of provider network management
• Develop education and communication plans for internal staff and providers
• Facilitate and assist with problem resolution for internal provider network management issues but also for broader scope issues that impact provider network management including but not limited to providers, claims, customer contact center, medical management, and appeals and grievances
• Perform management duties including budgeting, performance management, staff development, training, staffing, and establishing department goals and objectives
Education/Experience:
Bachelor’s Degree in Business, Healthcare, or related field or equivalent experience. 5 years of combined health plan operations, network development, provider relations, or contracting experience. In depth knowledge of compliance and access and availability requirements. Experience with compliance reporting and analyzing data. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.  Behavioral health, large and hospital contracting experience preferred.
This role will require travel up to 75% when safe travel is permitted.
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work schedules and dress flexibility
Competitive pay
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development
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.
Provider Data Management
USA-Florida-Tampa
USA-Texas-Austin, USA-Texas-Dallas, USA-Missouri-Clayton, USA-Texas-San Antonio
Schedule: Full-time Location(s): USA-Florida-Tampa