Contract Negotiator at Centene in Remote-MS

Responsibilities

• Position Purpose: Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State guidelines.
• 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
• May require up to 10% travel
• Performs other duties as assigned
• Complies with all policies and standards

Requirements

• Education/Experience: 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.
• License/Certification: Valid driver's license.
• Mississippi is the ideal location for this position, but we will consider candidates working remotely anywhere in the United States. They will be required to work Central Time business hours. Potential for up to 10% Travel in Mississippi.

Skills

Required

• Contract negotiation
• Provider relations
• Valid driver's license

Benefits

• Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
• Pay Range: $56,200.00 - $101,000.00 per year