Contract Negotiator III

Centene Management Company LLC; Pennsylvania; Hybrid; USD 70.000 - 126.000; Vollzeit

Benefits dieser Stelle

Competitive pay

Health insurance

401K + stock purchase plans

Tuition reimbursement

PTO + holidays

Flexible work arrangements

Zusammenfassung

Centene Management Company LLC in Pennsylvania is seeking a recruiting professional to attract physician, hospital and ancillary service providers to join our network and sign standard contracts that meet policy guidelines.

The role requires 4+ years in contracting or provider relations, a Bachelor's degree, and the ability to work remotely from Pennsylvania with occasional travel. You'll coordinate with internal teams to ensure accurate setup and compliant contracts.

Qualifikationen

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field.
• 4+ years of contracting, contract analysis, provider relations, or provider experience in a hospital or physician's office/group setting.
• Working knowledge of State and/or Federal health care programs (Medicaid, Medicare).

Aufgaben

• Recruit and develop network for a region and set of providers
• Lead assigned recruitments (physician, hospital and ancillary) and ensure contracts meet objectives
• Facilitate provider setup and contract configuration for 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 ensure contract compliance

Kenntnisse

Contracting

Provider relations

Recruiting

Geography awareness

Ausbildung

Bachelor's degree or equivalent

Jobbeschreibung

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

Education/Experience: Bachelor's degree in Healthcare Administration, Business Administration, Finance, related field or equivalent experience. 4+ years of contracting, contract analysis, provider relations, or provider experience in a hospital or physician's office/group setting. Working knowledge of State and/or Federal health care programs preferred (Medicaid, Medicare).

Candidates must be in the state of Pennsylvania to be considered for this remote position. It requires occasional travel for meetings.

Pay Range: $70,100.00 - $126,200.00 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.

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

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

Thanks for your interest in Centene and its subsidiary companies. We're so glad that you've decided to fill out an application and take the next step to find your purpose. Also, we're here to help support you on your candidate journey. Should you need an accommodation, please email [e-mail].

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.