Senior Director, Risk Provider Management Position Available In Leon, Florida

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. This is a remote position, but applicants for this position must reside in the state of Florida. •

Position Purpose:

•Leads the development and implementation of network transformation initiatives across the market. Manages risk provider relationships, value-based network development and provider service functions for a given market(s). Works collaboratively with a variety of corporate and market support partners as well as the network development team in determining and enacting strategies to meet market growth, quality and associated required medical cost targets. + Leads and develops team of Network Performance Advisors to meet/exceed provider performance and provider satisfaction key metrics. + Oversees Network Performance Advisors performance and provides coaching and development in order to improve the business results. + Builds a comprehensive network strategy to support the risk provider/IPA network, managed medical costs, quality targets and HCC scoring. + Strategizes membership growth and retention for High Performing Practices, sophisticated and/or complex Provider Partnerships. + Drives improvement of provider performance by analyzing, interpreting and communicating financial, utilization and quality metrics. + Develops practices to educate and assist risk partners in managing financial risk. + Establishes and leads collaborative effort with internal cross-functional market and shared services departments to support provider performance and resolve network and operational barriers/challenges. + Evaluates government program (Medicaid and Medicare) requirements to develop and execute initiatives that drive compliance of assigned business area(s). + Facilitates business review meetings with Plan’s executive leadership team. + Plans, prepares and executes effective group meetings/discussions with proper objectives and outcomes. •

Education/Experience:

•+ Bachelor’s degree in a related field, Masters Degree preferred. + 10+ years of experience in managed care contracting required + 7+ years of experience in targeted experience with Risk Providers and IPA Management required + 5+ years of management experience with oversight of remote and/or matrixed teams required + Experience in network development for

Medicare or Medicaid:

Compliance/ERM Pay Range:

$145,100.00 – $268,800.00 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. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act