Contract Negotiator Job at Magnolia Health Plan, Mississippi

OXNqKzhZYlFnbDlBV2QyR1dPbWpReUlJSWc9PQ==
  • Magnolia Health Plan
  • Mississippi

Job Description

Contract Negotiator Location Remote in Mississippi :

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi specialty groups) and ancillary participating provider agreements that are in accordance with corporate, health plan and State guidelines.

  • Recruit and develop provider network plan for region and set of providers
  • Identify and initiate contact with potential providers
  • Negotiate contracts
  • Leads 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 provider
  • Facilitate and provide oversight to the provider set-up and contract configuration to ensure accurate claims adjudication
  • Evaluate and monitor providers' performance standards and financial performance of contracts.
  • Assist with and track credentialing activities
  • Facilitate the organization of provider focus groups
  • Coordinate with internal departments and contracted providers to implement and maintain contract compliance
  • May require up to 25% travel
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.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.

Job Tags

Full time, Contract work, Remote work, Flexible hours,

Similar Jobs

Haidlen Ford

Full-time Tow Truck Driver Job at Haidlen Ford

 ...Full-Time Tow Truck Driver Qualifications Education High school diploma or the equivalent. Licenses Driver's License Other Ability to read and comprehend instructions and information. Professional personal appearance. Excellent communication... 

DSNSearch

Sr. Network Security Engineer Job at DSNSearch

 ...SENIOR SECURITY NETWORK ENGINEER PALO ALTO ~~ GLOBAL CONNECT VPN ~~ NETWORK SECURITY ~~ FIREWALLS ~~ SECURITY FRAMEWORKS ~~ FULL TIME WITH GREAT BENEFITS~~~~ ON SITE 4 DAYS A WEEK REQUIREMENT~~ PROVEN NETWORK ENGINEER WITH HEAVY PALO ALTO EXPERTISE GLOBAL... 

Catholic Health Initiatives

Inventory Specialist Job at Catholic Health Initiatives

 ...Responsibilities**+ Act as a liaison between clinical staff and supply chain management, when necessary+ Restock supplies and rotate inventory, ensuring accurate inventory levels+ Distribute supplies and equipment to patient care areas throughout the hospital+ Watch for... 

Midwest Smart Logistics LLC

Box Truck Delivery Driver Job at Midwest Smart Logistics LLC

 ...looking for motivation individuals to join our team as DOT Delivery Drivers, Delivery Driver Helpers and Assembly Delivery Drivers....  ...Driver Helper As a Delivery Driver, youll drive a DOT regulated box truck delivering 60-80packages a day Handle large bulky products... 

SwedishAmerican Hospital

Medical Assistant Job at SwedishAmerican Hospital

 ...Schedule: 100% FTE, Day Shift Role. Monday - Friday, 8am -...  ...compensation may include: Evening, night, and weekend shift...  ...benefits package including: PTO, Medical, Dental, Vision, retirement,...  ..., paternity leave, adoption assistance, tuition assistance Annual...