Manager of Contracting Managed Care

Our promise to you:

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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.

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All the benefits and perks you need for you and your family:

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  Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

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  Paid Time Off from Day One

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  403-B Retirement Plan

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  4 Weeks 100% Paid Parental Leave

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  Career Development

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  Whole Person Well-being Resources

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  Mental Health Resources and Support

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  Pet Benefits

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Schedule:

Full time\n\n

Shift:

Day (United States of America)\n\n

Address:

2600 LUCIEN WAY\n\n

City:

MAITLAND\n\n

State:

Florida\n\n

Postal Code:

32751\n\n

Job Description:

\nFosters 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.\n

Schedule/Shift: Hybrid (3 days onsite) must reside in the Central FL area- Monday-Friday 8am-5pm est

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Knowledge, Skills, and Abilities:
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• Strong management and leadership skills
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• Excellent quantitative, verbal, written and interpersonal skills
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• Financial analysis and Spreadsheet experience
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• Extensive provider reimbursement knowledge
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• Developed skills to analyze, present, and evaluate managed care contract revenue issues
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• Windows Applications – Microsoft Word, Excel, PowerPoint, Access, Outlook CAQH, Apogee/MSOW
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Education:

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• Bachelor's [Required]
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Field of Study:

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• N/A
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Work Experience:

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• 3+ in a dynamic, team-oriented environment [Required]
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• 3+ years' experience working in a multi-hospital healthcare system, large multi-discipline physician organization, or within an insurance provider or health plan [Preferred]
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• 5+ in managed care contract negotiations [Required]
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• 5+ work experience: [Required]
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• Previous management or leadership experience [Required]
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Additional Information:

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• N/A
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Licenses and Certifications:

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

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Pay Range:

\n$83,699.48 - $155,693.55\n
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Background Screening Requirement (Florida Law)

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\n Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

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Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
\n https://info.flclearinghouse.com/

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