AdventHealth
Transplant Contract Specialist Managed Care
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Transplant Contract Specialist Managed Care
role at
AdventHealth
2 days ago Be among the first 25 applicants
Job Description
Participates in negotiation planning and development projects to support strategic alignment with contracted health plans.
Seeks resolution to managed care issues by collecting and interpreting contract performance information to preserve the integrity of those contracts.
Supports the timely start of contract negotiation activities by compiling information through research and coordination with departmental leaders.
Maintains and negotiates contracts with external community provider groups to provide transplant services under AdventHealth global transplant contracts.
Maintains Global Spreadsheet, capturing Solid Organ and Bone Marrow Transplant information.
Corresponds with payer survey contact as needed and ensures any additional information requested by payer is provided in a timely manner.
Assists with appeals and disputes of outcomes then reviews and forwards the decisions of these outcomes.
Assists with resolving payment issues during the global billing period and ensures payments are made appropriately.
Other duties as assigned.
Qualifications
Bachelor's degree required.
Benefits
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 MAITLAND, Florida 32751
Pay Range
$49,718.59 - $92,468.74
Equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Seniority level: Not Applicable
Employment type: Full-time
Job function: Other
Industries: Hospitals and Health Care
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Transplant Contract Specialist Managed Care
role at
AdventHealth
2 days ago Be among the first 25 applicants
Job Description
Participates in negotiation planning and development projects to support strategic alignment with contracted health plans.
Seeks resolution to managed care issues by collecting and interpreting contract performance information to preserve the integrity of those contracts.
Supports the timely start of contract negotiation activities by compiling information through research and coordination with departmental leaders.
Maintains and negotiates contracts with external community provider groups to provide transplant services under AdventHealth global transplant contracts.
Maintains Global Spreadsheet, capturing Solid Organ and Bone Marrow Transplant information.
Corresponds with payer survey contact as needed and ensures any additional information requested by payer is provided in a timely manner.
Assists with appeals and disputes of outcomes then reviews and forwards the decisions of these outcomes.
Assists with resolving payment issues during the global billing period and ensures payments are made appropriately.
Other duties as assigned.
Qualifications
Bachelor's degree required.
Benefits
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 MAITLAND, Florida 32751
Pay Range
$49,718.59 - $92,468.74
Equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Seniority level: Not Applicable
Employment type: Full-time
Job function: Other
Industries: Hospitals and Health Care
#J-18808-Ljbffr