You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Management of behavioral health network development and maintenance for Hospital, Ancillary and Professional.

• Oversee all activities of the contracting department

• Develop and implement a network development plan for an assigned region and set of providers and identify and initiate contact with potential providers

• Negotiate contracts with interested providers utilizing model provider agreements, and follow up on contracts

• Lead negotiations, rate modeling, implementation and ongoing monitoring of assigned group of providers to maximize business relationships and opportunities

• Oversee provider set-up and contract configuration to ensure accurate claims adjudication and facilitate the organization of provider focus groups

• Evaluate and monitor providers’ performance standards and financial performance of contracts

• Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception process and use of model contract language

• Perform financial analyses to identify medical cost improvement opportunities and develop and execute contracting action plans to achieve results

Education/Experience: Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, related field or equivalent experience. 4+ years of provider relations/contracting experience in a healthcare and/or managed care environment. Working knowledge of contracting language and the principles of negotiation. Familiarity with managed care, State and/or Federal health care programs. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.

License/Certification: Valid driver's license.

This position is 100% remote within the state of California. Candidates must reside in California in order to be considered. Availability to meet in person for team meetings etc. on an as needed basis is preferred.

Pay Range: $84,300.00 - $151,700.00 per year

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. Total compensation may also include additional forms of incentives.

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.