Contract Negotiator II

Centene Corporation • Remote-MO, MO

3d • $56,200 - $101,000 • Remote

About The Position

Recruit physician, hospital, and ancillary service providers to sign network participation agreements that comply with Corporate, health plan, and State guidelines. Ensure that all necessary documentation and information are included. Develop a provider network for an assigned region and provider set, lead assigned recruitments, and ensure they result in complete and accurate standard contracts that meet objectives. Facilitate provider setup and contract configuration to support accurate claims adjudication. This is a remote role open to someone working anywhere in the United States and requires occasional travel.

Applicants must be authorized to work in the U.S. without current or future employment-based visa sponsorship. Sponsorship is not available for this opportunity, including for H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT visa types. The position also involves other duties as assigned and compliance with all policies and standards.

Requirements

• Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, Finance, or a related field, or equivalent experience.
• At least 2 years of experience in contracting, contract analysis, provider relations, or provider experience in a hospital, physician’s office, or group setting.
• Must be authorized to work in the U.S. without the need for current or future employment-based visa sponsorship.

Nice To Haves

• Familiarity with State and/or Federal health care programs, including Medicaid and Medicare.
• Experience negotiating with large health systems.
• Experience with service level negotiations.
• Some knowledge of code-level payment methodologies.
• Experience with Out of Network Agreements.

Responsibilities

• Recruit and develop a network for a region and set of providers.
• Lead assigned physician, hospital, and ancillary provider recruitments and ensure they result in complete and accurate standard contracts that meet objectives.
• Facilitate and oversee provider setup and contract configuration to ensure accurate claims adjudication.
• Initiate contact with and identify potential providers based on geographic and specialty needs, and update the database.
• Coordinate with internal departments and contracted providers to implement and maintain contract compliance.
• Perform other duties as assigned.
• Comply with all policies and standards.

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
• Additional forms of incentives may be included in total compensation, subject to applicable factors.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level