Senior Network Development Specialist (Commercial)

Centene Corporation Clayton , MO 63105

Posted 3 weeks ago

Position Purpose: Support and manage enterprise network development strategy for multiple product lines. Lead efforts related to growth plans, maintenance and enhancement of provider relationships and cost control.

Develop and manage network development plans to achieve Centene's growth objectives

Analyze metrics and report on trends in provider reimbursement changes

Identify and implement strategies for network utilization improvement, reducing network spend

Remain apprised of regulatory changes, perform gap assessment, and lead efforts to implement new processes

Lead process improvement initiatives for the provider experience

Partner with Claims, Business Operations, Medical Management, and other areas to address ongoing needs and develop solutions

Assist in development and implementation of quality improvement programs

Understand various product lines to optimize Centene's Commercial business Education/Experience: Bachelor's degree in Business Administration or related field. 4 years of project management, provider relations, or provider contract negotiation experience, preferably in the healthcare industry.

Experience interfacing with healthcare providers preferred. Master's degree preferred.

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.



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Senior Network Development Specialist (Commercial)

Centene Corporation