Contract Negotiator I

Centene Management Company LLC; United States; Remote; 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 schedules: remote,hybrid

Job summary

Centene Management Company LLC is seeking a recruiter for physicians, hospital and ancillary providers. You will build a regional network, lead recruitments, and drive complete contracts that align with guidelines. You will manage provider setup and contract configuration to ensure proper claims adjudication.

The role requires Indiana residency for remote work with occasional local travel; pay range is $56,200 to $101,000 per year, with comprehensive benefits.

Qualifications

• Bachelor’s degree or equivalent experience in healthcare/administration.
• 0–2 years contracting, contract analysis, or provider relations.
• Familiarity with State and/or Federal health care programs preferred.
• Candidates must be in Indiana for this remote role with occasional local travel.

Responsibilities

• Recruit and develop network of physicians, hospitals and ancillary providers.
• Lead assigned recruitments and ensure contracts meet objectives.
• Oversee provider setup and contract configuration for accurate claims adjudication.
• Identify potential providers by geography and specialty needs.
• Coordinate with internal teams to ensure contract compliance and support.

Skills

Contracting experience

Contract analysis

Provider relations

Healthcare administration

Education

Bachelor’s degree in Healthcare Administration, Business Administration, Finance, related field or equivalent experience

Job description

Position Purpose

Recruit physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with Corporate, health plan and State guidelines. Ensure that all necessary documentation and information are included.

Key Details

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
• Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.
• Recruit and develop network for a region and set of providers.
• Lead assigned recruitments (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives.
• Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication.
• Initiate contact and identify potential providers by geographic and specialty needs and update database.
• Coordinate with internal departments and contracted providers to implement and maintain contract compliance.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience

Bachelor’s degree in Healthcare Administration, Business Administration, Finance, related field or equivalent experience. 0-2 years of contracting, contract analysis, provider relations, or provider experience in a hospital or physician’s office or group setting. Familiarity with State and/or Federal health care programs preferred (Medicaid, Medicare). Candidates must be in the state of Indiana to be considered for this remote position that requires occasional local travel for internal and provider-facing meetings.

Pay Range

Pay Range: $56,200.00 - $101,000.00 per year.

Benefits

Centene offers a comprehensive benefits package including:

• 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

Should you need an accommodation, please email [e-mail].

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 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.

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.