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Network Development Manager
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Country: USA
Location: Texas-Austin austin, TX 78701
Total applied: 40 Job Category:Medical/Health
Location:austin, TX 78701
Status:Full Time, Employee
Occupations:Mental Health;General/Other: Medical/Health;Social Service
Career Level:Manager (Manager/Supervisor of Staff)
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Network Development Manager
Centene Corporation is a leading multi-line healthcare enterprise that provides managed-care programs and related services to individuals receiving benefits under Medicaid, including Supplemental Security Income (SSI) and the State Children’s Health Insurance Program (SCHIP).Position PurposePerform duties to implement development activities for the recruitment, contracting and retention of providers. Negotiate contracts and develop strategies and methodologies for specific network development initiatives.Position Qualification RequirementsKnowledge/Experience: Bachelor’s degree or equivalent experience in a related field, master’s degree preferred. 3-5 years of contracting, network development and/or provider relations experience. Project management experience. Supervisory or lead experience. Experience in a healthcare or insurance environment, preferably in Medicaid. Competencies: Manager: Integrity, Flexibility, Communication, Critical Thinking, Building a Successful Team, Decision Making, Planning and Organizing, Building Strategic Working Relationships, Technical and Professional KnowledgePosition Responsibilities• Monitor business processes related to network development to determine their efficiency and protective value, and assure integrity of records, information and systems in compliance with Company policies/standards and government regulations.• Develop tactical plans to align network strategies and technologies with future needs. Effectively integrate new networking strategies and technologies.• Oversee marketing efforts in each market.• Prepare and analyze reports and records on functional area and on organizational activities, recommend improvements for upper management. Monitor and report on achievement of committed action plans to appropriate upper management. • Monitor operational and financial performance of agreements using results to guide future negotiations. • Meet individually with providers to develop long-term relationships and resolve operational issues. • Review redline contract language and provide accept/decline recommendations to management. • Prepare and analyze information to evaluate the need for additional providers. • Assist in maintenance of ongoing state governmental and community relationships.2 or more years of expericenceAdditional Information:Travel Percentage: 20%
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