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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: Oversee and lead work to develop and manage Medicare network strategic initiatives, both state-specific and national, partnering with local and corporate teams to drive solutions and innovation. The mutli-faceted role will focus on leading and supporting priority initiatives encompassing network strategy, development, management/refinement, risk mitigation, and providing ongoing network analysis and insight to create fact-based solutions. Educate, advise, and collaborate with corporate and Health Plan partners on actions to create strong provider networks while mitigating risks.
- Responsible for managing ongoing market dynamics focused on network needs, and product knowledge
- Translate corporate/network/product goals into tactics, and drive performance toward those goals
- Ensure critical business issues and strategies are addressed in network strategies and decisions; working and influencing, cross-functionally focused on communication, collaboration, and organization.
- Collaboration with product owners on value proposition development, creating compelling and unique targeted provider “selling points” to rationalize provider participation/pricing
- Provide regular awareness, education and performance insights to inform changes in provider/network landscape
- Apply analytical and problem-solving skills to contribute to the creation and execution of network strategic plan, incorporating provider market analysis and positioning
- Utilize expertise in data analysis and insights to drive informed decisions as well as effectively communicating trends
- Communicate, advise, and guide stakeholders on emerging trends, areas of strength or risk, and actions to mitigate risk. Engage Health Plan partners to address risk
- Enable data-driven decision making through the delivery of insightful business reporting
- Develop strong working relationships with leaders and peers across the organization in addition to driving high levels of engagement
- Effectively build, lead, and mentor a high performing team to consistently deliver quality work products that support both operational and strategic decision-making
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience:
Bachelor's Degree in Business or Health Administration required: 5+ years experience in health care, health insurance, or strategic consulting environment OR 8 years experience in health care, health insurance, or strategic consulting required
Experience leading and mentoring staff
Experience working with corporate leadership, interfacing and communicating at all levels of the organization
Strong analytical skills with the ability to identify opportunities and drive impactful changes
Expertise in portfolio, program, and project management and demonstrated proficiency providing program management and analytical support on research and development
Excellent collaboration and presentation skills
Pay Range: $86,000.00 - $154,700.00 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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
