Contract Negotiator

Centene Management Company LLC; Mississippi; Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements

Job summary

Centene Management Company LLC is seeking a contracts professional to coordinate and negotiate hospital, physician and ancillary service agreements while building a regional provider network. The role includes leading negotiations, overseeing provider setup for accurate claims and ensuring contract compliance across internal teams.

The ideal candidate has a Bachelors degree in a related field and 2+ years in contracting/provider relations within healthcare, with a valid driver s license and

Qualifications

• Bachelors degree in Healthcare Admin, Business Admin, Marketing or related field.
• 2+ years contracting/provider relations experience in healthcare preferred.
• Valid drivers license; willing to travel up to 10%.

Responsibilities

• Coordinate and negotiate hospital, physician (IPAs, PPMs, providers) and ancillary service agreements.
• Recruit and develop provider network plan for region and set of providers.
• Identify and initiate contact with potential providers.
• Negotiate contracts.
• Lead assigned negotiations to meet unit cost targets and state reimbursement.
• Oversee provider setup and contract configuration for accurate claims adjudication.
• Evaluate and monitor providers performance and contract finances.
• Assist with credentialing activities.
• Facilitate provider focus groups.
• Coordinate with internal departments to maintain contract compliance.
• May travel up to 10%.
• Perform other duties as assigned.
• Comply with all policies and standards.

Skills

Contracting

Provider relations

Negotiation

Healthcare knowledge

Communication

Education

Bachelors degree in relevant field

Job description

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's 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.

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.

Pay Range

$56,200.00 - $101,000.00 per year

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• 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.

Equal Opportunity Statement

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.

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.