What are the responsibilities and job description for the Manager, Contracting & Network Development position at WellCare of North Carolina?
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 : Provide support for the management of physician, hospital and ancillary provider recruitment in accordance with corporate, health plan and state guidelines for assigned regions.
- Manage team and process for recruitment of provider targets (physician, hospital, and ancillary) in assigned regions in accordance with corporate, health plan and state guidelines
- Analyze various data and assist with defining goals and metrics for the network
- Identify and develop provider networks through collaboration with various contracting departments
- Participate in negotiations with vendor or provider contracts and participate in management of implementations and ongoing relationships
- Collaborate with internal departments and contracted providers to implement and maintain contract compliance
- Monitor productivity and identify and implement initiatives to maximize outcomes
Education / Experience : Bachelor’s degree in Health Administration, Business Administration, related field, or equivalent experience. 4 years of provider recruitment, contracting, contract analysis, or provider relations experience. Must be knowledgeable of network development processes, contract language, principles of negotiation, credentialing and call center operations.
Candidates must be in the state of North Carolina to be considered for this position. This is a remote position that also requires occasional field work for provider meetings.
Pay Range : $86,000.00 - $154,700.00 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. Total compensation may also include additional forms of incentives.
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
Salary : $86,000 - $154,700
