Contract Administrator II
About The Position
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: Perform analysis, revisions and approvals of healthcare provider contract language modifications, evaluating them against specific standards and provide assessment of potential operational risks Draft and revise contracting language to support state mandated language, product requirements, language deviations received from negotiators or providers, and other contract language requests Aid management in new business needs including research of state regulations and statutes, review of state contracts and Requests for Proposal (RFPs),and development of appropriate language to support new products/markets Review of contract language to evaluate modifications against specified standards Collaborate with the contracting staff at subsidiaries, and operational stakeholders at corporate to revise contract language to support business needs or provider concerns Serve as point of contact for all language review issues for contracts submitted through the organization’s contract management systems contract management systems (i.e. Emptoris and Team Track). Develop and manage reporting on process successes and failures in the contract management systems
Requirements
- Bachelor’s degree in Business Administration, Marketing, related field or equivalent experience.
- 4+ years experience analyzing, revising and approving healthcare provider contract language modification or 4+ years experience negotiating healthcare provider contracts.
- Demonstrated leadership experience within a function, department or on project(s) and experience in the health insurance industry.
Nice To Haves
- Juris Doctorate, MBA, or MHA is preferred.
- Managed care, Medicaid, Medicare or dual eligible health programs experience preferred.
- Experience developing contract templates preferred.
Responsibilities
- Perform analysis, revisions and approvals of healthcare provider contract language modifications, evaluating them against specific standards and provide assessment of potential operational risks
- Draft and revise contracting language to support state mandated language, product requirements, language deviations received from negotiators or providers, and other contract language requests
- Aid management in new business needs including research of state regulations and statutes, review of state contracts and Requests for Proposal (RFPs),and development of appropriate language to support new products/markets
- Review of contract language to evaluate modifications against specified standards
- Collaborate with the contracting staff at subsidiaries, and operational stakeholders at corporate to revise contract language to support business needs or provider concerns
- Serve as point of contact for all language review issues for contracts submitted through the organization’s contract management systems contract management systems (i.e. Emptoris and Team Track)
- Develop and manage reporting on process successes and failures in the contract management systems
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- a flexible approach to work with remote, hybrid, field or office work schedules
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
