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Contract Negotiator

Olathe, KS

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Job ID 1101148Category Network Development & ContractingOrganization Sunflower State Health PlanSchedule Full-timeDescription:Position Purpose: Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State guidelines.Recruit and develop provider network plan for region and set of providersIdentify and initiate contact with potential providersNegotiate contractsLeads assigned negotiations (i.e., hospital, physician and ancillary) and ensure that negotiations result in the unit cost targets expected and meet the objectives of the company and approximate the State’s reimbursement to the providerFacilitate and provide oversight to the provider set-up and contract configuration to ensure accurate claims adjudicationEvaluate and monitor providers’ performance standards and financial performance of contracts.Assist with and track credentialing activitiesFacilitate the organization of provider focus groupsCoordinate with internal departments and contracted providers to implement and maintain contract complianceMay require up to 25% travelQualifications:Education/Experience: Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, related field, or equivalent experience. 2 years of contracting, provider relations or other related experience preferably in a healthcare, managed care, or insurance related environment. License/Certification: Valid driver's license.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.

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