Senior Contract Negotiator job

CenteneTacoma, WA
Centene jobs

Company

Skills

Job Description

Senior Contract Negotiator

Position Purpose: The Senior Contract Negotiator implements provider contracting strategies for local health plan. Negotiates and implements provider contracts, and monitors and evaluates the performance of provider contracts.
Negotiates corporate contracts with hospital, ancillary and individual providers.

- Analyzes utilization statistics and set-up rates for inpatient services.

- Contracts on a case rate basis versus capitation.

- Interacts with providers (individual and institutional) and their office staff via phone, in person, and in writing to provide program information and to accomplish problem resolution concerning claims.

- Performs on-site liaison visits at provider offices.

- Conducts or assists with group provider education sessions.

- Performs other duties as assigned.

Education/Experience: Bachelor's degree or related experience. Previous contracting experience in healthcare. Previous experience in hospital contracting and rate analysis. Previous office experience. Minimum two years experience in a position dealing professionally with physicians and clients. Prior work experience involving application of HMO policies and procedures. Previous experience with provider relations or Government programs in provider relations. Public speaking experience

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.

Administrative Services

USA-Washington-Tacoma

Federal Services

Full-time

TASKS

  • Use mediation techniques to facilitate communication between disputants, to further parties' understanding of different perspectives, and to guide parties toward mutual agreement.
  • Confer with disputants to clarify issues, identify underlying concerns, and develop an understanding of their respective needs and interests.
  • Prepare settlement agreements for disputants to sign.
  • Set up appointments for parties to meet for mediation.

SKILLS

  • Reading ComprehensionUnderstanding written sentences and paragraphs in work related documents.
  • Active ListeningGiving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  • WritingCommunicating effectively in writing as appropriate for the needs of the audience.
  • SpeakingTalking to others to convey information effectively.

KNOWLEDGE

  • Administration and ManagementKnowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
  • ClericalKnowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
  • Economics and AccountingKnowledge of economic and accounting principles and practices, the financial markets, banking and the analysis and reporting of financial data.
  • Sales and MarketingKnowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.

Centene

Type

Company - Public (CNC)

Size

10000+ employees

Revenue

Over $10B

Location

Saint Louis, MO

Industry

Insurance

Founded

1984

CEO

Michael F. Neidorff

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