VP, Network Strategy and Management Solutions

Position Purpose: Role will lead strategy development and execution for the growing ICHRA product, including building provider networks with dedicated rates across current and future markets for both Centene employees and external members. Expand the provider network development and value based contracting activities. Assist with value based contracting provider network strategy, including provider contract negotiation, development of new value-based models, drive provider performance related to quality and reduction of avoidable healthcare costs, assist with preparation for provider performance meetings, and support decision makers with analysis related to historical and projected provider performance.

• Develop relationships in multiple markets and implement strategies with key providers, provider associations and provider stakeholders.
• Lead key provider negotiations with Hospitals, Physicians, Ancillaries, and Community Health Centers.
• Develop and implement network development strategy plans with key providers in multiple markets.
• Oversee the development of provider networks across expansion markets.
• Manage budgeting and forecasting initiatives for stakeholder/network strategies, product lines, networks costs, and/or provider contracts.
• Develop, coordinate and managed provider advisory boards, committee’s and governance and maintain relationships with key provider leadership.
• Assist and advise on key provider relations and strategies.
• Evaluating opportunities to expand or change the network to meet company goals.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience: Bachelor's Degree in Business, Management, Healthcare Administration, or related field required.

MBA preferred. 10+ years of healthcare administration, network development, or provider/payor contracting experience in a healthcare or managed care environment required.

Provider network development and strategy, provider contract negotiations, leading network development staff, unit cost and network strategy budgeting.

Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

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.