Managed Care Contract Specialist

adventhealth

Biñan

On-site

PHP 3,102,000 - 5,768,000

Full time

14 days+

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Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Paid time off

403(b) retirement plan

Parental leave

Career development

Well-being resources

Mental health resources

Pet benefits

Job summary

AdventHealth in Maitland, Florida is seeking a contract-focused analyst to manage and optimize payer contracts. You will analyze agreements, negotiate terms with payors, and keep fee schedules updated to reflect current rates and regulations.

You will collaborate with clinical and support teams to maximize reimbursement while ensuring compliance and accurate record-keeping across all contracts.

Qualifications

General knowledge of healthcare, hospital and provider operations and managed care payer contracts.
Understanding of managed care payers and contracting requirements.
Knowledge of healthcare and hospital/provider operations.

Responsibilities

Analyzes managed care contracts to ensure compliance with standards and regulatory requirements.
Negotiates contract terms with payors to secure favorable reimbursement rates.
Reviews and updates fee schedules and contract modifications to reflect current rates.
Communicates changes to internal departments and stakeholders.
Collaborates with clinical and support staff to optimize reimbursement and reduce overhead.
Maintains records of all contracts and related documentation.

Skills

Managed care contracts

Healthcare payer operations

Negotiation skills

Education

Bachelor's degree

Job description

You will collaborate with clinical and support teams to maximize reimbursement while ensuring compliance and accurate record-keeping across all contracts.

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