Job ID 1084373Additional Locations San Antonio,Texas,USCategory Network Development & ContractingOrganization Superior HealthPlanSchedule Full-timeDescription: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 providersLead assigned recruitments (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectivesFacilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudicationInitiate contact and identify potential providers by geographic and specialty needs and update databaseCoordinate with internal departments and contracted providers to implement and maintain contract complianceQualifications:Education/Experience: Bachelor’s degree in Healthcare Administration, Business Administration, Finance, related field or equivalent experience. 0-2 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).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.
Website : http://www.centene.com
Founded as a single health plan in 1984, Centene Corporation (Centene) has established itself as a national leader in the healthcare services field. Today, through a comprehensive portfolio of innovative solutions, we remain deeply committed to delivering results for our stakeholders: state governments, members, providers, uninsured individuals and families, and other healthcare and commercial organizations