Contract Negotiator

Centene Corporation•Remote-MS, MS

1d•$56,200 - $101,000•Remote

About The Position

Centene is seeking a Contract Negotiator to join their team. This role is responsible for coordinating and negotiating agreements with hospitals, physicians, and ancillary service providers to align with corporate, health plan, and state guidelines. The company is a diversified, national organization focused on transforming the health of communities and offers competitive benefits and workplace flexibility.

Requirements

Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, related field, or equivalent experience.
2+ years of contracting, provider relations or other related experience preferably in a healthcare, managed care, or insurance related environment.
Valid driver's license.

Responsibilities

Recruit and develop provider network plan for region and set of providers
Identify and initiate contact with potential providers
Negotiate contracts
Leads assigned negotiations (i.e., hospital, physician and ancillary) and ensure that negotiations result in the unit cost targets expected and meet the objectives of the company and approximate the State’s reimbursement to the provider
Facilitate and provide oversight to the provider set-up and contract configuration to ensure accurate claims adjudication
Evaluate and monitor providers’ performance standards and financial performance of contracts.
Assist with and track credentialing activities
Facilitate the organization of provider focus groups
Coordinate with internal departments and contracted providers to implement and maintain contract compliance
Performs other duties as assigned
Complies with all policies and standards