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.

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.

Vice President, Payment Innovation, Value-Based Contracting

Key skills