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Contract Negotiator IV

Company: WellCare of North Carolina
Location: Raleigh
Posted on: November 14, 2024

Job 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.

Position Purpose: Identify, negotiate and manage high performing provider and vendor partnerships.

Large Health System Recruitment inclusive of Physician and Ancillary Recruitment for all LOBs to include VBC contracting.

  • 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.
    Education/Experience: Bachelor's degree in Business Administration, Marketing, Finance or related field or equivalent experience. 6+ 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 Government programs preferred.

    We are ideally looking for candidates with experience in Health system, hospital, ancillary and professional services contracting including behavioral health.

    Candidates must reside in the state of North Carolina 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.

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

Keywords: WellCare of North Carolina, Raleigh , Contract Negotiator IV, Other , Raleigh, North Carolina

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