Contract Negotiator III

Centene Corporation

131d • $68,700 - $123,700

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: 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.
• Working knowledge of State and/or Federal health care programs preferred (Medicaid, Medicare).

Responsibilities

• Recruit physician, hospital and ancillary service providers to sign network participation agreements.
• 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.
• Facilitate and oversee 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.

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

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees