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Business Area: Administrative & Claims Operations

Job Type: Full time

Position Purpose: Responsible for identifying, building and implementing business strategies that support provider network and product development initiatives, focusing on building productive strategic provider relationships. Design, implement, and optimize innovative and value based payment contracting strategies to include the development of a broad vision, short and long term objectives and execution of key business initiatives across all products.

Key Details: This position is 100% remote within the United States. Up to 10% travel or meetings required.

+ Develop and execute Strategic Payment Innovation/Value-Based Payment (VBP) Roadmap and all approved roadmap initiatives.

+ Drive adoption of VBP programs and lead negotiation support of all VBP programs.

+ Oversee and coordinate administration and reporting of all VBP programs.

+ Direct and supervise staff in the development and implementation of Strategic Provider Partnership Initiatives.

+ Develop, recommend and implement cross-functional plans and activities to achieve strategic initiatives; communicate insights, progress of challenges and presents resolution scenarios.

+ Track and report status on strategic partnerships, risk adjustment, tailored network development and other activities to leadership teams.

Education/Experience: Bachelor's degree in Business Administration, Healthcare Administration, Public Health Administration, or equivalent fields of study or equivalent experience. Master's in Business Administration preferred. 10+ years of experience working in managed care for either a health plan or delegated provider organization or Managed Service Organization.

License/Certification: PMP certification preferredPay Range: $134,600.00 - $249,000.00 per year

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. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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Senior Director, Strategic Provider Partnerships and Payment Innovation

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