Managed Care Coordinator

• 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 InsurancePaid Time Off from Day One403-B Retirement Plan4 Weeks 100% Paid Parental LeaveCareer DevelopmentWhole Person Well-being ResourcesMental Health Resources and SupportPet BenefitsSchedule: Full timeShift:DayAddress:6061 S Willow DrCity:Greenwood VillageState:ColoradoPostal Code:80111Job Description:Analyzes managed care contracts to ensure compliance with organizational standards and regulatory requirements. Negotiates contract terms with payors to secure favorable reimbursement rates and conditions. Reviews and updates fee schedules and contract modifications to reflect current rates and terms. Communicates contract changes and updates to relevant internal departments and stakeholders. Collaborates with clinical and support staff to optimize reimbursement and reduce operational overhead. Monitors payor compliance with contractual obligations and addresses any discrepancies. Maintains accurate and up-to-date records of all managed care contracts and related documentation. Provides training and support to staff on managed care contract requirements and changes. Facilitates open communication and joint decision-making with payors and internal teams. Builds and maintains relationships with payors to ensure effective contract management. Resolves any issues or conflicts related to managed care contracts in a timely manner. Participates in performance improvement initiatives related to managed care processes. Other duties as assigned.Knowledge, Skills, and Abilities:
• General knowledge of healthcare, hospital and provider operations, and managed care payer contracts and operations. [Required]
• Must have a high degree of understanding of the managed care payers and managed care contracting requirements. [Required]
• Knowledge of healthcare, hospital/provider operations and managed care payer operations. [Required]Education:
• Bachelor's [Preferred]Field of Study:
• from a four-years college or universityWork

• 3+ years of managed care or position-related experience [Required]
• 5+ years of position-related experience [Preferred]Additional Information:
• N/ALicenses and

• N/APhysical

(Please click the link below to view work requirements)Physical Requirements - https://tinyurl.com/23km2677Pay Range:$62,628.80 - $116,500.80This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.