Superior HealthPlan

Senior Director, Contracting & Network Development.

TX, US$148,000-$274,200Posted 10 days ago

Job Description

Position Purpose

Oversee the development and implementation of contracting activities in network development and enhancement.

Key Details

The Senior Director, Network Development & Contracting is responsible for providing strategic leadership, direction, and oversight of provider contracting, network development, and network optimization initiatives across multiple product lines. This role is accountable for developing and executing network strategies that support organizational growth, regulatory compliance, network adequacy, affordability objectives, and provider engagement goals. The Senior Director serves as a key business leader, collaborating with executive leadership and cross-functional stakeholders to develop innovative contracting solutions, strengthen provider partnerships, and drive operational excellence across the network development organization. The team prefers a candidate living in TX.

  • Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between health plan and vendors
  • Work with business development and providers to develop a strategy for developing new networks including plans to meet network access and unit cost objectives
  • Determine necessary resources to develop the network and assemble the appropriate team across all business functions.
  • Complete development of budget in alignment with Centene network management and financial objectives
  • Support the new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources
  • Lead the network development specialists during the implementation and development stages
  • Monitor performance, develop, and implement business solutions to address process and quality gaps.
  • Communicate with senior management and other Centene leaders regarding network strategy and planning
  • Complete negotiations with complex and major provider contracts as

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