Contract Negotiator III

Centene Corporation•Woodland Hills, UT

1d•$70,100 - $126,200•Remote

About The Position

The Contract Negotiator III recruits physician, hospital, and ancillary service providers to sign network participation agreements that comply with corporate, health plan, and state guidelines. The role ensures that agreements include all necessary documentation and information, develops a provider network for an assigned region, and leads recruitments through the completion of accurate standard contracts. The position also oversees provider setup and contract configuration to support accurate claims adjudication, identifies potential providers based on geographic and specialty needs, maintains provider database information, and coordinates with internal departments and contracted providers to implement and maintain contract compliance. This is a remote role for candidates located in California. It requires quarterly travel to Woodland Hills, California, and up to 20% travel for internal and provider-facing meetings in Southern California. Applicants must be authorized to work in the United States without current or future employment-based visa sponsorship.

Requirements

Bachelor’s degree in Healthcare Administration, Business Administration, Finance, a related field, or equivalent experience.
At least 4 years of experience in contracting, contract analysis, provider relations, or provider work in a hospital or physician’s office/group setting.
Must be authorized to work in the United States without the need for employment-based visa sponsorship now or in the future.
Must be located in California.

Nice To Haves

Working knowledge of state and/or federal health care programs, such as Medicaid and Medicare.

Responsibilities

Recruit and develop a network of providers for an assigned region and provider set.
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 potential providers based on geographic and specialty needs and update the provider database.
Coordinate with internal departments and contracted providers to implement and maintain contract compliance.