Senior Network Development Specialist (Medicare)

Centene   •  

Clayton, MO

Industry: Healthcare IT

  •  

5 - 7 years

Posted 396 days ago

Description

 

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 networkutilization 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

 

Qualifications

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 degreepreferred

008QJ