via Workday
$145K - 269K a year
Lead provider contracting and network development for Ambetter Health Solutions across national markets, managing staff and ensuring compliance.
Bachelor's degree and 7+ years experience in provider contracting, network development, or provider relations with management experience and Medicaid/Medicare contracting background.
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: This role will be a leader on the team responsible for building, contracting, and managing the provider network for Ambetter Health Solutions – Centene’s ICHRA focused role. This includes overseeing activities of the provider contracting and network development functions for a national footprint – building and maintaining these networks in collaboration with local market leaders. As part of creating this new space, this role will operate with a “start up mentality" and require flexibility in job functions, which will evolve over time. Oversee provider contracting activities to ensure efficiency and maintain compliance with the business unit’s policies and standards, government laws and regulations Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions. Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources Perform complex financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial goals, and execute contracting strategies to meet goals and objectives Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning Ability to travel Education/Experience: Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of combined contracting, network development or provider relations experience. Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements. Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff. License/Certification: Valid driver's license. This position is 100% remote within the United States with up to 25% travel required. 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 Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.
This job posting was last updated on 12/10/2025