Contract Negotiator III

Centene Corporation•Remote-TX, TX

3d•$70,100 - $126,200•Remote

About The Position

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.

Requirements

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
Candidates must be in Texas to be considered for this position.
Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, related field or equivalent experience.
4+ years of contracting or provider relations experience in a healthcare, managed care, or insurance related environment.
Working knowledge of State and/or Federal health care programs preferred (Medicaid, Medicare).

Responsibilities

Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi-specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State guidelines.
Negotiate SCAs rates within parameters and escalate issues as they arise.
Create SCAs in with approved language and rates.
Route and follow SCAs to ensure requests are processed through Share point system.
Upon execution of SCA, notify all appropriate internal and external customers and post SCA in assigned folders.
Assist with various teams with par provider options and supply appropriate choices for the request.
If par provider(s) are not available, redirect to alternative providers that may be cost effective.
Notify management of providers who may be willing to contract for gaps or access to care concerns.
Prioritize work to ensure responses to urgent requests, imminent discharges/transfers and complaints.
Redirection options should be timely to avoid unnecessary SCAs.