Senior Manager, Contracting

Centene; Teletrabalho; BRL 581.000 - 1.077.000; Tempo integral

Resumo da oferta

A leading healthcare provider is seeking a strategic professional to develop and manage provider contracts, ensuring compliance with national standards. The role requires at least 6 years of experience in Provider Contracting within a healthcare environment. Candidates must be based in Michigan as occasional local travel is required. Competitive salary and comprehensive benefits package offered, including health insurance and flexible work options.

Serviços

Comprehensive benefits package

Flexible work schedules

Tuition reimbursement

401K and stock purchase plans

Paid time off plus holidays

Qualificações

• 6+ years of experience in Provider Contracting or Provider Affairs.
• Knowledge of contracting language and negotiation principles.
• Candidates must be based in Michigan.

Responsabilidades

• Develop and execute a strategic view of data for provider interactions.
• Manage provider data process improvements including contracting.
• Oversee contract negotiation activities for compliance.

Conhecimentos

Provider Contracting

Negotiation

Data analysis

Contract compliance

Formação académica

Bachelors’ degree in healthcare administration or related field

Master’s degree preferred

Descrição da oferta de emprego

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

Education/Experience

Bachelors’ degree in healthcare administration, business administration, marketing or related field. Master’s degree preferred. 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. This is a remote role that requires occasional local travel for internal meetings and provider-facing meetings.

Pay Range: $105,600.00 - $195,400.00 per year

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.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.