Contract Negotiator

Centene Corporation Harrisburg , PA 17101

Posted 2 weeks ago

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.

Recruit and develop provider network plan for region and set of providers

Identify and initiate contact with potential providers

Negotiate contracts

Leads assigned negotiations (i.e., hospital, physician and ancillary) and ensure that negotiations result in the unit cost targets expected and meet the objectives of the company and approximate the State's reimbursement to the provider

Facilitate and provide oversight to the provider set-up and contract configuration to ensure accurate claims adjudication

Evaluate and monitor providers' performance standards and financial performance of contracts.

Assist with and track credentialing activities

Facilitate the organization of provider focus groups

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. 2 years of contracting, provider relations or other related experience preferably in a healthcare, managed care, or insurance related environment.

License/Certification: Valid driver's license.

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.


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VIEW JOBS 12/29/2018 12:00:00 AM 2019-03-29T00:00 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. 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. Centene Corporation Harrisburg PA

Contract Negotiator

Centene Corporation