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: Perform analysis, revisions and approvals of healthcare provider contract language modifications, evaluating them against specific standards and provide assessment of potential operational risks
- Draft and revise contracting language to support state mandated language, product requirements, language deviations received from negotiators or providers, and other contract language requests
- Aid management in new business needs including research of state regulations and statutes, review of state contracts and Requests for Proposal (RFPs),and development of appropriate language to support new products/markets
- Review of contract language to evaluate modifications against specified standards
- Collaborate with the contracting staff at subsidiaries, and operational stakeholders at corporate to revise contract language to support business needs or provider concerns
- Serve as point of contact for all language review issues for contracts submitted through the organization’s contract management systems contract management systems (i.e. Emptoris and Team Track).
- Develop and manage reporting on process successes and failures in the contract management systems
Education/Experience: Bachelor’s degree in Business Administration, Marketing, related field or equivalent experience. Juris Doctorate, MBA, or MHA is preferred. 4+ years experience analyzing, revising and approving healthcare provider contract language modification or 4+ years experience negotiating healthcare provider contracts. Demonstrated leadership experience within a function, department or on project(s) and experience in the health insurance industry. Managed care, Medicaid, Medicare or dual eligible health programs experience preferred. Experience developing contract templates preferred.
This is a remote position open to someone working anywhere in the United States. Standard work hours will be flexible/vary depending on the market to which this person is assigned.
Pay Range: $68,700.00 - $123,700.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a 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. Total compensation may also include additional forms of incentives.
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
Top Skills
What We Do
Centene provides healthcare solutions to individuals across the United States with more than 23 million members nationwide.
