Manager of Contracting Managed Care
$83.7k - $155.69kAdventHealth
Our Promise To You Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule Full time Shift Day (United States of America) Address
2600 LUCIEN WAY
CityMAITLAND
State Florida Postal Code 32751 Job Description Fosters collaborative relationships with other departments, leadership, and payors to identify areas for improvement. Manages a team of contract negotiators and staff responsible for long-term relationships with contracted health plan partners. Supports managed care leadership in identifying contract enhancement targets across multiple vendor partners and relationships. Actively seeks opportunities for contract negotiation, vendor performance evaluation, issue escalation and resolution, and onboarding new facility and professional services assets. Leads or delegates projects and assignments identified by departmental leadership, overseeing completion in a timely and effective manner. Establishes timetables and reporting of activities, utilizing measures for effectiveness where appropriate. Facilitates education and development of assigned team members, ensuring high performance and continued growth. Accepts lead negotiator assignments for high-profile health plan and network relationships as needed. Coordinates with revenue cycle operations teams and Managed Care department resources to resolve issues related to managed care contract performance. Intersects with leaders within clinically integrated networks to promote population health initiatives. Builds and manages relationships with health plan partners. Other duties as assigned. Schedule/Shift Hybrid (3 days onsite) must reside in the Central FL area- Monday-Friday 8am-5pm est Knowledge, Skills, And Abilities Strong management and leadership skills Excellent quantitative, verbal, written and interpersonal skills Financial analysis and Spreadsheet experience Extensive provider reimbursement knowledge Developed skills to analyze, present, and evaluate managed care contract revenue issues Windows Applications – Microsoft Word, Excel, PowerPoint, Access, Outlook CAQH, Apogee/MSOW Education Bachelor's [Required] Field Of Study N/A Work Experience 3+ in a dynamic, team-oriented environment [Required] 3+ years' experience working in a multi-hospital healthcare system, large multi-discipline physician organization, or within an insurance provider or health plan [Preferred] 5+ in managed care contract negotiations [Required] 5+ work experience: [Required] Previous management or leadership experience [Required] Additional Information N/A Licenses And Certifications N/A Physical Requirements Please click the link below to view work requirements Physical Requirements - Pay Range $83,699.48 - $155,693.55 Background Screening Requirement (Florida Law) Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse: This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. #J-18808-Ljbffr AdventHealth- ...achieve this by focusing on our core values; Care Genuinely for People, Play like a... ...and Win as One.The Construction Project Manager plays a vital role in the successful delivery... ...skills to ensure compliance with project contracts.For a copy of Flynn Group’s Workplace Privacy...SuggestedFor contractorsWork at officeLocal area
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Immediate need for a talented LTSS Service Care Manager. This is a 06 months Contract to Hire opportunity and is located in Hialeah, FL / , Miami, FL / , Aventura, FL (Onsite). Please review the job description below and contact me ASAP if you are interested. Pay Range...Contract workWork at officeLocal areaImmediate start- ...for payment for: extensions of time, variations, disruption, claims and for all items for which the Lane is entitled. Manages the financial and contract administration of subcontractor accounts. Produces contractual correspondence, contractual notices, and provision of...Long term contractFull timeContract workFor contractorsFor subcontractorInterim roleMonday to Friday
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