Contract Negotiator III

Centene Management Company LLC; Town of Texas (WI); Hybrid; USD 70,000 - 126,000; Full time

Benefits offered by this job

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 Contracting professional to coordinate and negotiate hospital, physician, and ancillary service agreements in line with corporate, health plan, and state guidelines.

This remote role requires a Bachelor’s degree and 4+ years of contracting or provider relations experience, with knowledge of Medicaid/Medicare programs. Occasional travel may be required; the pay range is $70,100.00–$126,200.00 per year, plus benefits.

Qualifications

• 4+ years of contracting or provider relations experience in a healthcare, managed care, or insurance related environment.

Responsibilities

• Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi-specialty groups) and ancillary service agreements.
• Route and follow SCAs to ensure requests are processed through Share Point system.
• Upon execution of SCA, notify all appropriate internal and external customers and post SCA in assigned folders.
• Assist with various teams with par provider options and supply appropriate choices for the request.

Skills

Contracting experience

Provider relations

Education

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

Job description

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.

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. Negotiate SCAs rates within parameters and elevate issues as they arise. Create SCAs in with approved language and rates. Route and follow SCAs to ensure requests are processed through Share point system. Upon execution of SCA, notify all appropriate internal and external customers and post SCA in assigned folders. Assist with various teams with par provider options and supply appropriate choices for the request. If par provider(s) are not available, redirect to alternative providers that may be cost effective. Notify management of providers who may be willing to contract for gaps or access to care concerns. Prioritize work to ensure responses to urgent requests, imminent discharges/transfers and complaints. Redirection options should be timely to avoid unnecessary SCAs.

Education / Experience

Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, related field or equivalent experience. 4+ years of contracting or provider relations experience in a healthcare, managed care, or insurance related environment. Working knowledge of State and/or Federal health care programs preferred (Medicaid, Medicare). Candidates must be in Texas to be considered for this position. It is a remote role that might require occasional local travel.

Pay Range

$70,100.00 - $126,200.00 per year

About Centene

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.

Equal Opportunity Employer

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

Accommodation

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

About Centene

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.