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Centene Corporation Senior Network Development Specialist in Clayton, Missouri

Centene Corporation is a diversified, multi-national Fortune 50 Company who is transforming the health of the community, one person at a time. We have an opening for a Senior Network Development Specialist. This role will be working with our Health Plans, nation-wide, to support and manage enterprise network development strategy for the Medicare product line. You will also lead efforts related to growth plans, maintenance and enhancement of provider relationships, and cost control.

Highly qualified candidates will have verifiable experience in this realm, be able to write executive summaries, and effectively communicate to all levels of leadership and partners. You should also have very strong Excel, Power Point, presentations kills along with the experience of developing reports. Additional responsibilities can include the following;

  • Develop and manage network development plans to achieve Centene’s growth objectives

  • Analyze metrics and report on trends in provider reimbursement changes

  • Identify and implement strategies for network utilization improvement, reducing network spend

  • Remain apprised of regulatory changes, perform gap assessment, and lead efforts to implement new processes

  • Lead process improvement initiatives for the provider experience

  • Partner with Claims, Business Operations, Medical Management, and other areas to address ongoing needs and develop solutions

  • Assist in development and implementation of quality improvement programs

  • Understand various product lines to optimize Centene’s Commercial business

  • Possible travel up to 25% once it is safe to do so

Education/Experience:

Bachelor’s degree in Business Administration or related field. 4+ years of project management, provider relations, or provider contract negotiation experience, preferably in the healthcare industry. Experience interfacing with healthcare providers preferred. Master’s degree preferred

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.

TITLE: Senior Network Development Specialist

LOCATION: Clayton, Missouri

REQNUMBER: 1227201

COMPANY: Business Dev & Sales

POSITION TYPE: Both

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