Contract Negotiator

Contract Negotiator at NH Healthy Families
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Position Purpose

Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi‑specialty groups) and ancillary service 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.
• Lead assigned negotiations (hospital, physician, ancillary) ensuring unit cost targets and company objectives are met.
• 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.
• Travel up to 25% of the time.
• Perform other duties as assigned.
• Comply with all policies and standards.

Education:

Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, related field, or equivalent experience.

Experience:

2+ years of contracting, provider relations or other related experience preferably in a healthcare, managed care, or insurance environment.

Valid driver's license.

Remote within the state of New Hampshire. Candidates must reside within the state of New Hampshire. Quarterly onsite meetings required at the Bedford, NH office.

Pay Range: $55,100.00 - $99,000.00 per year.

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off and holidays, and a flexible approach to work with remote, hybrid, field or office schedules.

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 characteristics 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.