Contract Negotiator II

atCentene CorporationRemoteUS flagMissouriFull-timeUncategorizedJuniorMid-level$56.2k – $101k/year

Posted 5 days ago

This is a fully remote position, open to applicants in Missouri.

📋 Description

• Recruit physicians, hospitals, and ancillary service providers to enter into network participation agreements.

• Ensure that all documentation and information are complete and adhere to Corporate, health plan, and State regulations.

• Build and cultivate a network for a designated region and group of providers.

• Lead recruitment efforts for assigned physicians, hospitals, and ancillary service providers.

• Confirm that standard contracts are thorough and accurately meet organizational objectives.

• Facilitate and manage provider setup and contract configuration to ensure precise claims adjudication.

• Initiate outreach and identify potential providers based on geographical and specialty requirements.

• Maintain and update the provider database.

• Collaborate with internal teams and contracted providers to implement and uphold contract compliance.

• Perform other related tasks as assigned.

• Adhere to all policies and standards.


⛳️ Requirements

• Must have authorization to work in the U.S. without requiring employment-based visa sponsorship now or in the future.

• Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, Finance, a related field, or equivalent experience.

• At least 2 years of experience in contracting, contract analysis, provider relations, or provider experience within a hospital or physician's office/group setting.

• Familiarity with State and/or Federal healthcare programs is preferred, including Medicaid and Medicare.

• Work hours should align with Central/Eastern Time Zone business hours.


🏝️ Benefits

• Competitive compensation.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase plans.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

• Flexible work options including remote, hybrid, field, or office schedules.

• Additional incentive programs may be included in total compensation.

• Equal opportunity employer dedicated to promoting diversity.

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