Provider Contract Specialist

Meridian Health Plan; Ohio; Remote; USD 68,000 - 124,000; Full time

Job summary

A leading health plan is seeking a Contract Specialist to negotiate and manage contracts with providers across multiple states. The ideal candidate will have knowledge of healthcare contracting and a strong background in legal matters, along with a commitment to improving community health outcomes. This fully remote role requires collaboration with a team of legal professionals and a strategic mindset to ensure successful provider engagement.

Benefits

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Flexibility in work schedules

Qualifications

• 5+ years of experience in provider contracting.
• Strong negotiation skills with healthcare providers.
• Bachelor's degree required, paralegal certification preferred.

Responsibilities

• Support negotiations with hospitals and providers.
• Review, analyze and draft contract language.
• Assist with provider relations and disputes.

Skills

Negotiation

Contract Analysis

Legal Research

Education

Bachelor's Degree in Business, Finance or Accounting

Paralegal Certification with Contract Specialization

Job description

5 days ago Be among the first 25 applicants

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 The incumbent will be responsible for supporting business people in our local WellCare markets in negotiating contracts with hospitals, physician groups and other providers to participate in our provider network, including taking a major role in reviewing, analyzing and drafting contract language as part of those negotiations. This role will also support other legal matters related to provider relations, including assisting with disputes, provider manual support, provider communication review and other issues.

• Collaborate with Network representatives and WellCare attorneys in various markets on all aspects of contracting with new and existing providers in networks across several states
• Support strategic positioning for provider contacting, assist in development of contract templates and help identify opportunities for great value-orientation and new payment methodologies
• Contribute to development of alternative networking initiatives and new provider business structures
• Support attorneys and clients on provider relations issues
• Perform other duties and work on projects as assigned
  
  

Candidate Education Preferred A Bachelor's Degree in a related field Business, Finance or Accounting

Candidate Experience Required 5+ years of experience in Front line provider contracting supporting a health plan, health insurance company or hospital/physician network in either business or legal department

Preferred Other If a Paralegal, Certification/degree With Contract Specialization

This position is 100% remote within the United States. Travel for meetings to Detroit, Michigan office may be required as needed.

Pay Range $68,700.00 - $123,700.00 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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