Vacancy caducado!
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: Lead, negotiate, and manage multiple large hospitals and medical groups, physician, and/or ancillary contracting activities in accordance with Corporate, health plan, and state guidelines.
Oversee provider contracting activities to ensure efficiency and maintain compliance with Company policies and standards, government laws and regulations
Develop and implement a network development plan for multiple regions, for a set of providers and identify and initiate contact with potential providers
Lead negotiations, implementations, and ongoing monitoring of hospitals and providers to maximize business relationships and opportunities for multiple regions
Oversee contract configuration to ensure accurate claims adjudication and facilitate the organization of provider focus groups
Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception process and use of model contract language
Perform financial analyses of multiple business units to identify medical cost improvement opportunities and develop and execute contracting action plans to achieve results
Oversee and train in high level physician and hospital contracting
Education/Experience: Bachelors’ degree in healthcare administration, business administration, marketing or related field or equivalent experience. 6+ years of contracting experience or provider relations in a healthcare and/or managed care environment. Knowledge of contracting language and the principles of negotiation. Familiarity with managed care, State and/or Federal health care programs.License/Certification: Current state driver’s license.Pay Range: $101,500.00 - $187,800.00 per yearCentene 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.
Vacancy caducado!