Contract Negotiator III

Centene Corporation•Fort Collins, CO

4d•Remote

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. Remote role, highly preferred that candidate resides in the state of Texas, the Midwest or the Northeast Tristate area. Seeking a candidate that is experienced in working with Value Based Provider Groups. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT Position Purpose: Recruit physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with Corporate, health plan and State guidelines. Ensure that all necessary documentation and information are included. Recruit and develop network for a region and set of providers Lead assigned recruitments (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication Initiate contact and identify potential providers by geographic and specialty needs and update database Coordinate with internal departments and contracted providers to implement and maintain contract compliance

Requirements

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

Nice To Haves

Working knowledge of State and/or Federal health care programs preferred (Medicaid, Medicare).
Seeking a candidate that is experienced in working with Value Based Provider Groups.
Remote role, highly preferred that candidate resides in the state of Texas, the Midwest or the Northeast Tristate area.

Responsibilities

Recruit physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with Corporate, health plan and State guidelines.
Ensure that all necessary documentation and information are included.
Recruit and develop network for a region and set of providers
Lead assigned recruitments (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives
Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication
Initiate contact and identify potential providers by geographic and specialty needs and update database
Coordinate with internal departments and contracted providers to implement and maintain contract compliance