WellCare of Kentucky, Inc.
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Contract Negotiator III
role at
WellCare of Kentucky 18 hours ago Be among the first 25 applicants Join to apply for the
Contract Negotiator III
role at
WellCare of Kentucky Get AI-powered advice on this job and more exclusive features. 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, youll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose
Recruit physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with Corporate, health plan and State guidelines. Ensure that all necessary documentation and information are included.
Recruit and develop network for a region and set of providers Lead assigned recruitments (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication Initiate contact and identify potential providers by geographic and specialty needs and update database Coordinate with internal departments and contracted providers to implement and maintain contract compliance
Education/Experience
Bachelors degree in Healthcare Administration, Business Administration, Finance, related field or equivalent experience. 4+ years of contracting, contract analysis, provider relations, or provider experience in a hospital or physicians office/group setting. Working knowledge of State and/or Federal health care programs preferred (Medicaid, Medicare).
Candidate is required to reside in the state of Kentucky as there is up to 25% travel for provider and team meetings required.
Pay Range $68,700.00 - $123,700.00 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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
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Full-time Job function
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Contract Negotiator III
role at
WellCare of Kentucky 18 hours ago Be among the first 25 applicants Join to apply for the
Contract Negotiator III
role at
WellCare of Kentucky Get AI-powered advice on this job and more exclusive features. 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, youll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose
Recruit physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with Corporate, health plan and State guidelines. Ensure that all necessary documentation and information are included.
Recruit and develop network for a region and set of providers Lead assigned recruitments (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication Initiate contact and identify potential providers by geographic and specialty needs and update database Coordinate with internal departments and contracted providers to implement and maintain contract compliance
Education/Experience
Bachelors degree in Healthcare Administration, Business Administration, Finance, related field or equivalent experience. 4+ years of contracting, contract analysis, provider relations, or provider experience in a hospital or physicians office/group setting. Working knowledge of State and/or Federal health care programs preferred (Medicaid, Medicare).
Candidate is required to reside in the state of Kentucky as there is up to 25% travel for provider and team meetings required.
Pay Range $68,700.00 - $123,700.00 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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
Seniority level
Seniority level
Not Applicable Employment type
Employment type
Full-time Job function
Job function
Legal Industries
Hospitals and Health Care and Insurance Referrals increase your chances of interviewing at WellCare of Kentucky by 2x Sign in to set job alerts for Contract Negotiator roles.
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Louisville, KY $220,000.00-$350,000.00 3 days ago Louisville, KY $130,000.00-$140,000.00 1 week ago Louisville, KY $140,000.00-$180,000.00 6 days ago Louisville, KY $150,000.00-$250,000.00 3 hours ago Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr