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 Ambetter networks, both state-specific and national, partnering with local and corporate teams to drive solutions and innovation. The muti-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 networks while mitigating risks.
Responsible for managing ongoing market dynamics focused on provider needs, and product knowledge
Translation of corporate/network/product goals into tactics, and performance toward those goals
Ensure critical business issues and strategies are addressed in network 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 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 product that supports both operational and strategic decision-making
Performs other duties as assigned
Complies with all policies and standards
Education/Experience:
Bachelor degree in Business or Health Administration and 5 years experience in health care, health insurance, or strategic consulting environment OR 8 years experience in health care, health insurance, or strategic consulting
Experience leading and mentoring staff
Strategic thinker with a creative mindset
Experience working with corporate leadership, interfacing and communicating at all levels of the organization
Experience managing multiple complex priorities and a heavy workload.
Strong analytical skills with the ability to identify opportunities and drive impactful changes
Adeptness in navigating ambiguity and demonstrating agility in a fast-paced environment
Expertise in portfolio, program, and project management and demonstrated proficiency providing program management and analytical support on research and development
Capable of quickly familiarizing oneself with programmatic policies, procedures, processes, and mission needs to assist with the execution of tasks
Excellent communication, collaboration, and presentation skills. Proven results-oriented problem-solving abilities. Experience with presentation graphics and/or spreadsheet tools
Proficiency with Microsoft Office (especially PowerPoint and Excel)
Pay Range: $84,300.00 - $151,700.00 per yearCentene 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.
