Contract Negotiator I

Remote, Worldwide

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.

Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.

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

Education/Experience:...