This is a remote position and can be located anywhere in the US.
Position Purpose:
A senior leadership role responsible for driving strategic initiatives and ensuring the performance and alignment of provider engagement efforts across multiple lines of business (LOBs). This role requires a forward-thinking leader to develop and execute strategies that enhance provider relationships, improve quality, reduce costs, and optimize utilization, all while aligning with overarching organizational objectives.
Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.
- Develop and lead market-wide provider engagement strategies that support performance improvement and align with enterprise goals.
- Responsible for driving program implementation and timelines.
- Ensure the achievement of quality, cost, and utilization targets across assigned regions or LOBs by monitoring and addressing large-scale performance trends.
- Provide strategic guidance to leaders and their teams, addressing complex challenges and fostering an innovative and results-driven environment.
- Partner with team and leadership to ensure provider engagement strategies align with enterprise-wide priorities, market needs, and regulatory requirements.
- Serve as the primary contact for external stakeholders, including providers, networks, and regulatory entities, to strengthen partnerships and resolve challenges.
- Identify opportunities for innovation, driving continuous improvement in provider engagement approaches and market-level initiatives.
- Develop and manage budgets and resource plans for assigned regions or LOBs, ensuring optimal utilization and efficiency.
- Represent the organization in high-level meetings, forums, and conferences related to provider engagement.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience:
Bachelor's Degree in healthcare administration, business, public health, or a related field or equivalent work experience is required.
Master's Degree (MBA, MHA, or MPH) preferred
8+ years of relevant experience in areas such as value-based care, population health, provider practice administration, provider performance improvement, or healthcare strategy required
5+ years of leadership experience, including managing teams and overseeing supervisors or managers and expertise in analyzing performance trends and identifying risks and opportunities to refine strategies required
1+ years Proven experience in leading large-scale provider engagement initiatives and driving performance improvement across multiple markets or lines of business, with proven ability to lead and develop high-performing teams in a dynamic environment preferred
1+ years Familiarity with value-based payment models and healthcare quality improvement initiatives and a track record of success in multi-region and multiple LOBs leadership roles within the healthcare industry preferred
1+ years Strong leadership skills with experience managing and mentoring senior-level teams and addressing complex challenges, with excellent communication and interpersonal skills to build strong relationships with team members and stakeholders preferred
1+ years Proven ability to drive continuous improvement in provider engagement strategies, with strong problem-solving and conflict-resolution skills to handle escalations preferred
Pay Range: $134,600.00 - $249,000.00 per year
Centene 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
