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Arizona Complete Health · 6 days ago

Contract Negotiator II

Tempe, AZ

Full-time, Contract

Hybrid

Entry, Mid Level

$56K/yr - $101K/yr

2+ years exp

Arizona Complete Health is part of Centene, a diversified national organization transforming the health of communities. The Contract Negotiator II is responsible for recruiting behavioral health providers and ensuring compliance with corporate and state guidelines.

Health CareHealth InsuranceHospitalMedical

Responsibilities

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

Engage in value-based contracting, including development, negotiation, or management of outcome-based reimbursement models

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

Performs other duties as assigned

Complies with all policies and standards