Contract Negotiator II

Centene; United States; À distance; USD 56 000 - 101 000; Plein temps

Avantages offerts par ce poste

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible remote/hybrid/office work

Résumé du poste

Centene is seeking a Remote Recruiter to sign network participation agreements with physicians, hospitals, and ancillary providers. You will ensure all required documentation is complete and aligned with corporate, plan and state guidelines.

This role requires a bachelor’s degree and 2+ years in contracting/provider relations, with work hours aligned to Central/Eastern Time Zone.

Qualifications

• 2+ years of contracting, contract analysis, provider relations, or provider experience in a hospital or physician's office or group setting.
• Bachelor's degree in Healthcare Administration, Business Administration, Marketing, Finance, related field or equivalent experience.

Responsabilités

• Recruit and develop network for a region and set of providers.
• Lead assigned recruitments (physician, hospital and ancillary) and ensure contracts meet objectives.
• Facilitate and oversee provider setup and contract configuration for accurate claims adjudication.
• Identify potential providers by geographic and specialty needs and update database.
• Coordinate with internal departments and providers to maintain contract compliance.
• Performs other duties as assigned.
• Complies with all policies and standards.

Connaissances

Provider contracting

Provider relations

Contract analysis

Regional recruiting

Formation

Bachelor's degree in Healthcare Administration, Business Administration, Marketing, Finance, related field

Description du poste

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, Marketing, Finance, related field, or equivalent experience. 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).

This is a remote role open to someone working anywhere in the United States, but work hours must align with Central/Eastern Time Zone business hours.

Pay Range:

$56,200.00 - $101,000.00 per year

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.

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.

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