Senior Healthcare Contract Negotiator (Remote)

Delaware First Health; Newark (DE); On-site; USD 70,000 - 126,000; Full time

Job summary

Centene in Newark, DE is seeking a recruitment professional to sign network participation agreements with physician, hospital and ancillary providers, ensuring documentation meets all guidelines. You will lead recruitments for the region, set up contracts to ensure accurate claims adjudication, and coordinate with internal departments to maintain contract compliance.

Bachelor's degree and 4+ years contracting/provider relations experience are required, with knowledge of state/federal programs

Qualifications

• 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).

Responsibilities

• 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 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.

Skills

Recruitment

Provider relations

Contract analysis

Contract management

Education

Bachelor's degree

Job description

Centene in Newark, DE is seeking a recruitment professional to sign network participation agreements with physician, hospital and ancillary providers, ensuring documentation meets all guidelines. You will lead recruitments for the region, set up contracts to ensure accurate claims adjudication, and coordinate with internal departments to maintain contract compliance.

Bachelor's degree and 4+ years contracting/provider relations experience are required, with knowledge of state/federal programs