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Role Description

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.

• Identify, negotiate and manage high performing provider and vendor partnerships.
• Negotiate vendor or provider contracts and manage implementations and ongoing relationships.
• Perform market research and analysis as directed.
• Define, initiate, and direct financial analyses and operational reporting for the assigned vendor and provider agreements.
• Lead, manage, and track ongoing financial and operational success of designated partnership.
• Develop and initiate corrective action plans or agreement modifications where necessary, coordinating with local health plans and other applicable internal teams.
• Initiate and lead meetings with health plans and corporate teams, including executive management, to review vendor and provider agreement performance data and scorecards, and partnership strategy.

• Assists in coordinating the daily operations and activities of the team (Coordinated Care - WA Only).
• Manages the single case agreement requests and assignments.
• Ensures projects are aligned with business objectives and completed on time.
• Provides broader guidance on contract negotiations and contract creation to the team.
• Fosters a collaborative and innovative team environment.
• Provides support and mentorship to negotiation team and provides assistance to internal and external stakeholders on complex issues.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• Bachelor’s degree in Computer Science, Finance or related field or equivalent experience.
• 8+ years of vendor and/or provider contract negotiations, contract analysis and/or modeling experience in health care or similar industry.
• Experience negotiating contracts with successful outcomes and measurable financial results.
• Experience with presenting and communicating negotiation strategies and results at senior levels.
• Experience with health care provider negotiations for pharmacy benefit management or managed care preferred.

Requirements

• Support health plan telehealth and rural contracting and network development strategies, and work collaboratively with telehealth and rural health plan business owners and ensure regulatory requirements are met (DE Only).
• Responsible for leading the Contract Negotiation team, helping oversee daily negotiation operations, managing the single case agreement assignments, and ensuring project alignment with business goals (Coordinated Care - WA Only).
• Identify, negotiate and manage high performing provider and vendor partnerships.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules

Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Company Description

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.