Contract Negotiator

Magnolia Health Plan Inc.; Mississippi; Remote; USD 55,000 - 99,000; Full time

Job summary

An established industry player is seeking a Contract Negotiator to transform healthcare agreements. In this pivotal role, you'll coordinate negotiations with hospitals and providers, ensuring compliance with corporate and state guidelines. Your expertise will help develop a robust provider network while monitoring performance standards. This position offers the flexibility of remote work within the United States, with competitive pay and comprehensive benefits. Join a team dedicated to improving community health and making a difference for millions of members.

Benefits

Health Insurance

401K

Stock Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Arrangements

Qualifications

• 2+ years of experience in contracting or provider relations in healthcare.
• Strong negotiation skills and ability to develop provider networks.

Responsibilities

• Coordinate and negotiate service agreements with providers.
• Evaluate provider performance and ensure contract compliance.

Skills

Contract Negotiation

Provider Relations

Healthcare Administration

Compliance Monitoring

Education

Bachelor’s degree in Healthcare Administration

Bachelor’s degree in Business Administration

Bachelor’s degree in Marketing

Job description

Join to apply for the Contract Negotiator role at Magnolia Health Plan Inc.

3 days ago Be among the first 25 applicants

Join to apply for the Contract Negotiator role at Magnolia Health Plan Inc.

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 in accordance with corporate, health plan, and State guidelines.

Responsibilities

1. Recruit and develop provider network plan for the region and set of providers.
2. Identify and initiate contact with potential providers.
3. Negotiate contracts.
4. Lead assigned negotiations (hospital, physician, ancillary) ensuring unit cost targets are met and objectives align with company and State reimbursement expectations.
5. Facilitate provider setup and contract configuration for accurate claims processing.
6. Evaluate and monitor provider performance standards and financial outcomes of contracts.
7. Assist with credentialing activities and track progress.
8. Organize provider focus groups.
9. Coordinate with internal departments and providers to ensure contract compliance.
10. Travel up to 25% may be required.
11. Perform other duties as assigned.
12. Ensure compliance with all policies and standards.

Education/Experience

Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, or related field, or equivalent experience. At least 2 years of experience in contracting, provider relations, or related roles in healthcare, managed care, or insurance environments.

License/Certification

Valid driver’s license.

Additional Details

This position is remote within the United States with up to 10% travel for onsite meetings.

Pay Range: $55,100.00 - $99,000.00 per year.

Centene offers comprehensive benefits including competitive pay, health insurance, 401K, stock plans, tuition reimbursement, paid time off, holidays, and flexible work arrangements (remote, hybrid, field, or office).

Pay will be adjusted based on skills, experience, education, and other factors. Total compensation may include incentives.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Applicants with arrest or conviction records will be considered in accordance with applicable laws.

Additional Information

• Seniority level: Not Applicable
• Employment type: Full-time
• Job function: Legal
• Industries: Hospitals and Healthcare, Insurance

Referrals can increase your chances of interviewing at Magnolia Health Plan Inc. by 2x.

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