Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Vice President, Payment Innovation, Value-Based Contracting

Vice PresidentVice PresidentFull TimeRemoteTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

Missouri

Posted

10 days ago

Salary

Not specified

Bachelor Degree10 yrs expEnglish

Job Description

• Responsible for the enterprise strategy, design, execution, and performance of Centene's Value Based Contracting (VBC) and payment innovation portfolio. • Advance payment models that improve quality, affordability, provider performance, and member outcomes. • Ensure alignment with Centene's enterprise network strategy, line of business priorities, state specific needs, and regulatory requirements. • Partner closely with Network Development, Actuarial, Clinical, Quality, Product, Finance, and Health Plan leadership. • Develop scalable payment models, drive adoption, and ensure measurable impact on cost of care and clinical performance. • Lead a cross-functional team of VBC strategists, model designers, and performance analysts. • Define and execute the national VBC and payment innovation strategy.

Job Requirements

  • Bachelor’s degree required; master’s degree strongly preferred
  • 10+ years Progressive leadership experience in healthcare payment innovation, managed care strategy, provider contracting, or medical economics.
  • 7+ years Demonstrated success leading large‑scale, multi‑market VBC programs across Medicaid, Medicare (including MA/D‑SNP), and/or commercial markets.
  • 7+ years Proven experience leading enterprise or multi-market VBC programs in Medicaid, Medicare, and/or commercial markets.
  • 7+ years Strong financial literacy, including actuarial and risk arrangement understanding.
  • 7+ years Experience negotiating with C-suite provider leadership and managing large-scale VBC initiatives.
  • Experience with state health plans or national Medicaid organizations. preferred.
  • Knowledge of LTSS, behavioral health integration, and SDOH programs. preferred.
  • Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Benefits

  • competitive pay
  • health insurance
  • 401K and stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules

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