
10,000+ employees
Founded 1984
🛡️ Insurance
💼 Consulting
🏥 Healthcare
Insurance • Consulting • Healthcare
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
🕒 September 15
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10,000+ employees
Founded 1984
🛡️ Insurance
💼 Consulting
🏥 Healthcare
Insurance • Consulting • Healthcare
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
• Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi-specialty groups) and ancillary service agreements • Ensure agreements comply with corporate, health plan and State guidelines • Negotiate SCA rates within parameters and escalate issues as they arise • Create SCAs using approved language and rates • Route and follow SCAs through the SharePoint system to ensure requests are processed • Notify appropriate internal and external customers upon execution of SCAs • Post executed SCAs in assigned folders • Assist teams with participating provider options and provide appropriate choices • Redirect requests to cost-effective alternative providers when participating providers are unavailable • Notify management of providers who may contract for gaps or access-to-care concerns • Prioritize urgent requests, imminent discharges/transfers, and complaints • Provide timely redirection options to avoid unnecessary SCAs
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, related field or equivalent experience • 4+ years of contracting or provider relations experience in a healthcare, managed care, or insurance related environment • Working knowledge of State and/or Federal health care programs preferred (Medicaid, Medicare) • Candidates must be in Texas to be considered • Occasional local travel may be required
• Competitive pay • Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation, subject to program eligibility
Apply Now🕒 September 15
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