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: Under direction, the Contracts Manager is responsible for negotiating agreements with integrated healthcare delivery systems, hospitals, ancillary providers, physicians and physician groups that result in a network of high quality, cost effective and marketable providers and support business goals and objectives. This position is accountable for ensuring effective implementation of new and renewing contracts through communication and coordination with other functional areas. This position would create, negotiate and incorporate contract amendments, renegotiate the contract to accommodate scope changes or changes in organization requirements. This position may lead related initiatives and projects.
- Ensures effective implementation of new and renewing contracts through communication and coordination with other functional areas.
- Adheres to Health Net contracting policies, procedures and financial guidelines.
- Manages and controls the contractual relationship with providers.
- Coordinates contract activities, including contract development, negotiation and maintenance.
- Monitors provider contracts to ensure terms and conditions are met.
- Creates, negotiates and incorporates contract amendments, renegotiating the contract to accommodate scope changes or changes in organization requirements.
- Performs necessary analysis of cost and utilization data in addition to the analysis of the financial and operational impact of contractual proposals.
- Gathers relevant data regarding financial and operational performance as well as other competitive information.
- Maintains a thorough working knowledge of plan products, benefit packages, policies and procedures, contract requirements, and interprets this information to contracted providers.
- Ensures corporate goals and objectives for approved initiatives and projects are completed within established timeframes and financial parameters.
Education/Experience: Bachelor's degree in Health Care Administration or related field or equivalent work experience required; Master's degree preferred. Experience in health care setting at a payer, hospital, provider relations, provider contracting, health plan operations, or health care/medical office environment preferred
It is preferred that candidates have 5-7 years of healthcare payor/provider contracting and negotiation experience.
Candidates must reside in Southern California, near Los Angeles or Orange County, to be considered for this role.
Pay Range: $84,300.00 - $151,700.00 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.
