[Hiring] Contract Negotiator III @Centene Corporation

Role Description

Recruit physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with Corporate, health plan and State guidelines. Ensure that all necessary documentation and information are included.

• 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.
• 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 the 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.

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).
• Candidates must be in the state of Pennsylvania to be considered for this remote position.
• Occasional travel for meetings is required.

Requirements

• Pay Range: $70,100.00 - $126,200.00 per year.

Benefits

• Comprehensive benefits package including competitive pay.
• Health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• 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.
• Benefits may be subject to program eligibility.

Company Description

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.
• Build your skills while making healthcare more accessible and effective.
• Work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.