Remote Contract Negotiator – Provider Networks Lead

Centene Corporation; Pennsylvania; À distance; USD 70 000 - 126 000; Plein temps

Résumé du poste

Centene Corporation is seeking a recruiter to identify and sign physician, hospital and ancillary providers under network participation agreements in line with corporate, health plan, and state guidelines. The role requires ensuring complete documentation and timely setup for claims adjudication.

Qualified candidates will hold a bachelor's degree in a related field with 4+ years in contracting, contract analysis, or provider relations within healthcare.

Qualifications

• Bachelor’s degree or equivalent experience in a related field plus 4+ years 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) preferred.

Responsabilités

• Recruit and develop network for a region and set of providers.
• Lead assigned recruitments (physician, hospital and ancillary) and ensure complete and accurate standard contracts that meet objectives.
• Facilitate provider setup 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.

Connaissances

Contracting

Provider relations

Contract analysis

Healthcare administration

Formation

Bachelor’s degree in healthcare administration, business administration, finance, or related field

Description du poste

Centene Corporation is seeking a recruiter to identify and sign physician, hospital and ancillary providers under network participation agreements in line with corporate, health plan, and state guidelines. The role requires ensuring complete documentation and timely setup for claims adjudication.

Qualified candidates will hold a bachelor's degree in a related field with 4+ years in contracting, contract analysis, or provider relations within healthcare.