Senior Network Development Specialist (Birmingham, AL)

| Birmingham, AL
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You could be the one who changes everything for our 26 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: This role is working on Ambetter/ Marketplace product with a focus on network and product strategy. The Senior Network Development Specialist will work with health plans, negotiators, and providers. The Specialist will use their ability to build and manage business relationships, work with provider networks, and develop healthcare strategy to meet department objectives and growth initiatives.

Responsibilities:

  • 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


Our Comprehensive Benefits Package:

  • Flexible work solutions including remote options, hybrid work schedules and dress flexibility
  • Competitive pay
  • Paid Time Off including paid holidays
  • Health insurance coverage for you and dependents
  • 401(k) and stock purchase plans
  • Tuition reimbursement and best-in-class training and development


Qualifications:

Education/Experience:

  • Bachelor's degree in Business Administration or related field. Master's degree preferred.
  • 4+ years of project management, provider relations, or provider contract negotiation experience, preferably in the healthcare industry.
  • Experience interfacing with healthcare providers 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.
More Information on Centene Corporation
Centene Corporation operates in the Healthtech industry. The company is located in Saint Louis, MO, Smyrna, GA, Columbus, GA and Sunrise, FL. Centene Corporation was founded in 1984. It has 19000 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Disability Insurance, Dental Benefits, Vision Benefits, Health Insurance Benefits and Life Insurance. To see all 374 open jobs at Centene Corporation, click here.
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