Jobs › Centene

Director, Contracting & Network Development

Centene · MO · Remote available · $134,600–$249,000 a year · Full time

Posted Sep 18, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about the most complex negotiation you've led with a hospital or health system. What did you give and what did you get?

What they are checking: Their negotiation skill, preparation and ability to reach terms that work for both sides.

Tell me about a time you identified a medical cost opportunity and drove it to results.

What they are checking: Whether they can connect network work to measurable savings or quality improvement.

How do you build and keep strong relationships with providers when you also have to push hard in negotiations?

What they are checking: Their ability to be firm on terms while keeping trust over the long term.

How would you lead and develop a contracting team spread across Missouri?

What they are checking: Their leadership approach for a remote team that travels to meet providers.

What would you do

A large health system threatens to leave the network unless rates go up significantly. How do you handle it?

What they are checking: Whether they can protect member access and medical cost at the same time under pressure.

How would you work through contract redlines when the provider's attorneys and yours disagree on a key term?

What they are checking: Their ability to identify what matters most and find workable compromise language.

About the work

Walk me through how you'd assess network adequacy and gaps across Missouri.

What they are checking: Whether they can combine access standards, geography and provider data into a clear picture of where the network is weak.

What provider and financial KPIs would you watch most closely, and why?

What they are checking: Their command of metrics like unit cost, utilization and access that drive network strategy.

How do you think about value-based arrangements versus fee-for-service in a Medicaid market?

What they are checking: Whether they understand how contract design shapes provider behavior and plan cost.

What do you know about the Missouri Medicaid landscape and the competitive dynamics among health plans there?

What they are checking: Whether they have local market knowledge or a plan to get it quickly.

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The full job description

As published by Centene.

Position Purpose: Lead provider network strategy, development, contracting, and performance management across Missouri . Assess market and provider performance, identify network and cost improvement opportunities, develop market strategies, and lead complex negotiations with hospitals, health systems, physician groups, and providers. Key Details: Applicants must reside in Missouri to be considered for this role (or live close to Missouri border). This is a remote position with a home office in the St. Louis, MO area and it may require travel throughout Missouri for internal and provider-facing meetings. Candidates must be authorized to work in the U.S. without the need for current or future employment-based visa sponsorship. Sponsorship is not available for this opportunity, including H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT or CPT. • Own and execute provider network strategy across Missouri, assessing market needs, network performance, provider availability, and competitive dynamics to identify gaps and growth opportunities • Analyze provider, network and financial KPIs to identify performance, access and medical cost opportunities and develop actionable strategies to address them • Lead complex negotiations with hospitals, health systems, large physician groups and providers, including contract terms, reimbursement and redlines, while building strong provider relationships • Support new business launches and market expansions by considering market dynamics, provider needs, budget, and available resources • Lead, coach, and develop contracting and network teams, including hiring, performance management, coaching, and team development • Oversee staff and external consultants supporting provider contracting and network development for new and expansion markets • Monitor network and team performance, identify process and quality gaps, and implement solutions to improve results • Communicate market strategy, network performance and recommendations to internal leaders and provider-facing stakeholders 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. Pay Range: $134,600.00 - $249,000.00 per year At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. 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

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