Offer summary

Qualifications:

Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, or a related field., 4+ years of contracting or provider relations experience in healthcare, managed care, or insurance environments., Strong negotiation skills and understanding of healthcare contracts., Ability to evaluate provider performance and financial standards..

Key responsibilities:

Coordinate and negotiate hospital and physician service agreements according to corporate and state guidelines.

Oversee negotiations for specific plans or provider types, including large professional groups and hospitals.

Manage financial settlements and collections of receivables.

Develop action plans for contracting and ensure compliance with internal departments and providers.

Job description

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: 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.

Oversee all negotiations for a specific plan or provider type (large professional groups, hospitals, etc.)
Assist with plan specific contracting strategy
Manage delivery of financial settlements and collections of receivables
Evaluate and monitor providers’ performance standards and financial performance of contracts
Develop contracting action plans
Coordinate with internal departments and contracted providers to implement and maintain contract compliance
May require up to 25% travel

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.

This position is remote with up to 25% travel required for meetings in Columbus, Ohio.

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. Total compensation may also include additional forms of incentives.

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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