Senior Manager, Contracting

Centene Management Company•Detroit, MI

2d•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. Position Purpose: Develop and execute a business-driven, strategic view of data to support management of interactions with providers and markets. Initiate and manage provider data process improvements including contracting models, provider reimbursement, and risk modeling. Collect, track, prepare, compile, and distribute statistical data for daily and ad hoc reports Oversee contract negotiation activities to ensure efficiency and maintain compliance with Company policies and standards, government laws and regulations Identify gaps and risk in contracting process. Coordinate with multiple departments to ensure contracting process is completed timely and accurately and within required established standards and guidelines Interface with corporate and market contracting teams to assess contracting gaps and develop plan action plans to resolve Lead negotiations to maximize business relationships and opportunities for multiple regions Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception process and use of model contract language

Requirements

Bachelors’ degree in healthcare administration, business administration, marketing or related field.
6+ years of Provider Contracting or Provider Affairs in a healthcare and/or managed care environment.
Knowledge of contracting language and the principles of negotiation.
Candidates must be in Michigan to be considered for this role.

Nice To Haves

Master’s degree preferred.

Responsibilities

Develop and execute a business-driven, strategic view of data to support management of interactions with providers and markets.
Initiate and manage provider data process improvements including contracting models, provider reimbursement, and risk modeling.
Collect, track, prepare, compile, and distribute statistical data for daily and ad hoc reports
Oversee contract negotiation activities to ensure efficiency and maintain compliance with Company policies and standards, government laws and regulations
Identify gaps and risk in contracting process.
Coordinate with multiple departments to ensure contracting process is completed timely and accurately and within required established standards and guidelines
Interface with corporate and market contracting teams to assess contracting gaps and develop plan action plans to resolve
Lead negotiations to maximize business relationships and opportunities for multiple regions
Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception process and use of model contract language