Provider Network Manager

Centene Corporation

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 The Provider Network Manager manages provider networks for adequacy and access. Conducts high level negotiations and renegotiations of provider contracts. Monitors network adequacy and resolves hospital provider claim issues. Provides regional input and maintenance of provider directory listings. Participates in monthly internal/external meetings involving network activity. Monitors areas credentialing process. Develops provider contracting strategy.

• Oversees network development and retention strategizing.
• Oversees network problem resolution (Claims, UM, Etc.).
• Oversees network analysis for adequacy and recruitment targets.
• Oversees provider contract negotiations – hospitals, ancillaries, and groups.
• Provides financial analysis for network development targets.

Education/Experience Bachelor’s Degree required; Master’s degree preferred (MBA, MHA). Five to seven years in administration and/or negotiation of managed care contracts

Government Security/Clearance/Citizenship As a government contractor, this position requires U. S. citizenship and proof of favorable adjudication of a Federal background investigation.

Our Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Pay Range $82,600.00 - $148,700.00 per year

Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

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.

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