Senior Contract Negotiator

Centene Corporation

United States

Remote

USD 70,000 - 126,000

Full time

12 days ago
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Benefits offered by this job

Remote work option
Comprehensive benefits
Tuition reimbursement

Job summary

Centene Corporation in the United States seeks a seasoned professional to coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi-specialty groups) and ancillary service agreements in line with corporate, state guidelines. This is a remote role that may require occasional local travel and Texas residency for consideration.

A Bachelor’s degree in Healthcare Administration, Business Administration, Marketing or related field and 4+ years in contracting or provider

Qualifications

  • Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, or related field.
  • 4+ years of contracting or provider relations experience in healthcare.
  • Working knowledge of State and/or Federal health care programs (Medicaid, Medicare).

Responsibilities

  • Negotiate SCAs rates within parameters and route via SharePoint.
  • Assist with par provider options and redirect to cost-effective alternatives.
  • Prioritize urgent requests and manage redirection to avoid delays in SCAs.

Skills

Contracting experience
Provider relations
Negotiation skills

Education

Bachelor’s degree in Healthcare Administration
Bachelor’s degree in Business Administration
Bachelor’s degree in Marketing

Tools

SharePoint

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 escape 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

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, 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

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