Contract Manager Managed Care

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 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

City:

MAITLAND

State:

Florida

Postal Code:

32751

Job Description:

Coordinates with payers to ensure timely execution of contract rate implementation, and communicates payer policy updates, operational changes, and governmental initiatives to hospital staff and leadership. Develops and maintains collaborative relationships with all stakeholders while seeing to understand their needs. Facilitates communication between Case Management, Denial Management, ancillary facilities, and payers to discuss operational contract issues and share information. Maintains the digital contract database with current information, including correspondence, contract language, and rate updates, for accurate reporting to hospital and ancillary department leadership. Chairs quarterly Joint Operation Committee meetings with key revenue cycle stakeholders, including medical directors, utilization management leaders, and health plan representatives. Contributes to key projects with efficiency, accuracy and timeliness. Demonstrates strong ability to build, test and maintain the Epic contract management system with a high degree of autonomy and accuracy. Responds to inquiries from the corporate Net Revenue Accounting department to facilitate month-end net revenue calculations. Identifies workflow issues or barriers to optimal performance and makes suggestions for improvement. Analyzes payer data and trends to identify root cause of issues impacting AR and demonstrates an ability to effectively problem solve. Troubleshoots issues and initiates escalation measures while recommending solutions. Other duties as assigned.Knowledge, Skills, and Abilities:
• Microsoft Office [Required]
• Detail oriented [Required]
• Assertive [Required]
• High degree of competency in contract language interpretation [Required]
• Ability to problem solve and think analytically [Required]
• Strong organizational skills [Required]
• Effectively communicate with all department levels [Required]
• Ability to grow strong relationships [Required]
• Certification in Epic Contract Management [Preferred]
• Patient Accounting knowledge [Preferred]
• CPT/HCPCS coding knowledge [Preferred]

Education:
• Bachelor's [Preferred]
• Associates [Required]

Field of Study:
• in Business or Healthcare Administration or related field

Work Experience:
• 4+ of experience in managed care, patient financial services or healthcare payer relations background [Required]
• 5+ in healthcare, hospital revenue cycle or payer/provider relations [Preferred]

Additional Information:
• N/A

Licenses and Certifications:
• EPIC Credential (EPIC CRED) [Preferred]

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$60,151.66 - $111,886.39

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.