Centene Corporation Physician & Hospital Contract Negotiator III in Denver, Colorado
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
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 (Commercial Insurance).
Note: position will require 100% travel once travel bans are lifted from the pandemic
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.
TITLE: Physician & Hospital Contract Negotiator III
LOCATION: Denver, Colorado
COMPANY: Business Dev & Sales
POSITION TYPE: External