Contract Negotiator

Sunshine Health; Orlando (FL); Remote; USD 55,000 - 99,000; Full time

Job summary

A leading health organization is seeking a Contract Negotiator in Florida to manage provider contracts and ensure compliance with state guidelines. The ideal candidate will have a Bachelor's degree and a background in contracting or provider relations, along with strong negotiation skills. This remote role offers flexibility and competitive compensation.

Benefits

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Qualifications

• Bachelor’s degree or equivalent experience.
• 2+ years in contracting or provider relations.
• Valid driver's license.

Responsibilities

• Coordinate and negotiate service agreements with providers.
• Recruit and develop provider network plan.
• Evaluate and monitor providers’ performance standards.

Skills

Negotiation

Contract Management

Provider Relations

Education

Bachelor’s degree in Healthcare Administration, Business Administration, Marketing

Job description

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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.

Candidates must be in the state of Florida to be considered for this role. This is a remote position that requires occasional travel (within FL) for internal and provider-facing meetings.

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

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Legal

• Industries

  Hospitals and Health Care and Insurance

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