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Contract Negotiator
Category: Health Care Industry
  • Your pay will be discussed at your interview

Job code: lhw-e0-85755479

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Centene Corporation

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  Job posted:   Tue Mar 13, 2018
  Distance to work:   ? miles
  1 Views, 0 Applications  
Contract Negotiator
ProfessionalPosition 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% travel

TITLE: Contract Negotiator

LOCATION: , Washington

REQNUMBER: 1091346

COMPANY: Network Development & Contracting

POSITION TYPE: Professional

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