
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.
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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, IPA, PPM, individual provider, multispecialty group, and ancillary service agreements • Recruit and develop provider networks for assigned regions and provider sets • Identify and initiate contact with potential providers • Lead assigned hospital, physician, and ancillary negotiations • Ensure negotiations meet unit cost targets, company objectives, and approximate the State’s reimbursement to providers • Facilitate and oversee provider setup and contract configuration for accurate claims adjudication • Evaluate and monitor provider performance standards and contract financial performance • Assist with and track credentialing activities • Facilitate provider focus groups • Coordinate with internal departments and contracted providers to implement and maintain contract compliance • Perform other duties as assigned
• Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, related field, or equivalent experience • 2+ years of contracting, provider relations or other related experience, preferably in a healthcare, managed care, or insurance related environment • Valid driver's license • Candidates must be able to work Central Time business hours • Potential for up to 10% travel in Mississippi • Must comply with all policies and standards
• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Potential additional forms of incentives • Accommodation support for candidates
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🇺🇸 United States – Remote
💵 $50k - $60k / year
💰 Private Equity Round on 2019-07
⏰ Full Time
🟢 Junior
🟡 Mid-level
🦅 H1B Visa Sponsor