Contract Negotiator III

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Contract Negotiator III

Position Purpose: 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.

- 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 to 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

Education/Experience: Bachelors 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 physicians office/group setting. Working knowledge of State and/or Federal health care programs preferred (Medicaid, Medicare).

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.

Network Development & Contracting

USA-New York-Latham

Fidelis Care

  • 1
  • Negotiable
  • None
  • None
  • Re-124933
  • Permanent
  • 1

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