Contract Negotiator

Centene; Bedford (NH); Remote; USD 55,000 - 99,000; Full time

Job summary

Centene seeks a Contract Coordinator who will manage and negotiate hospital and physician agreements, ensuring compliance with health plan and state guidelines. This remote role requires strong negotiation skills and a background in healthcare administration, offering a competitive salary and comprehensive benefits package.

Benefits

401K and stock purchase plans

Tuition reimbursement

Flexible approach to work

Qualifications

• 2+ years of experience in contracting or provider relations.
• Preferably in a healthcare or insurance related environment.

Responsibilities

• Coordinate and negotiate hospital and physician agreements.
• Evaluate and monitor providers’ performance standards.
• Facilitate contract compliance with internal departments.

Skills

Negotiation

Provider relations

Education

Bachelor’s degree in Healthcare Administration or related field

Job description

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.

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: 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 25% travel
• Performs other duties as assigned

• Complies with all policies and standards

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.

This is a remote position, but New Hampshire is the preferred location. There will be quarterly meetings in Bedford, NH.

Pay Range: $55,100.00 - $99,000.00 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

About the company

Centene Corporation is a publicly traded managed care company based in St.

Notice

Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at [e-mail] or 407-000-0000.

Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.

An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report . NYC applicants may request an alternative process or accommodation at [e-mail] or 407-000-0000.