Envolve Pharmacy Solutions · 6 days ago
Contract Negotiator II
United States
Full-time, Contract
Remote
Entry, Mid Level
$56K/yr - $101K/yr
2+ years expCentene is transforming the health of our communities, one person at a time. The role involves recruiting physician, hospital, and ancillary service providers to sign network participation agreements while ensuring compliance with corporate and state guidelines.
Health CarePharmaceutical
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
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
Qualification
Required
Bachelor's degree in Healthcare Administration, Business Administration, Marketing, Finance, related field, or equivalent experience
2+ years of contracting, contract analysis, provider relations, or provider experience in a hospital or physician's office or group setting
Preferred
Familiarity with State and/or Federal health care programs preferred (Medicaid, Medicare)
Benefits
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
Company
Envolve Pharmacy Solutions
Envolve Pharmacy Solutions provides total drug management, combining the systems, tools and expertise of a Pharmacy Benefit Manager (PBM).
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase