Contract Negotiator II

Position Purpose

Recruit behavioral health 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.

• Recruit and develop network for a region and set of providers
• Lead assigned recruitments (physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives
• Engage in value-based contracting, including development, negotiation or management of outcome-based reimbursement models
• Facilitate and oversee 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
• Perform other duties as assigned
• Comply with all policies and standards

Education:

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

Experience:

2+ years of contracting, contract analysis, provider relations, or provider experience in a hospital or physician’s office or group setting. Familiarity with State and/or Federal health care programs preferred (Medicaid, Medicare).

$56,200.00 - $ 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.

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.