• Contract Negotiator Intermediate - Hybrid

    AdventHealthMaitland, FL 32794

    Job #2686580946

  • AdventHealth

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

    • Benefits from Day One

    • Career Development

    • Whole Person Wellbeing Resources

    • Mental Health Resources and Support

    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.

    Shift : Monday-Friday

    Job Location : Hybrid - In office 3 days a week - Altamonte Springs, FL

    The role you'll contribute:

    This position is responsible for negotiation support with top-tier payer contracts as well as direct and indirect negotiation, review, and completion of assigned mid-level and low-level tier payer contracts. Duties as assigned include assisting in strategic managed care contracting initiatives as directed by AHS leadership; managed care contract review, interpretation and analysis, negotiation, reporting, implementation for assigned low-level and mid-level tier payer contracts; and issue resolution across multiple entities including hospitals and/or physician practices in Florida as well as ancillary service providers owned, employed, or operated by AHS. This position may be called to lead strategic managed care contracting initiatives for individual provider entities. Facilitates compliance of contract terms for assigned payers by leading in strong working relationships with department staff, various hospital and provider staff, and leadership at all AHS-Florida regions, ancillaries, and external managed care payers. Actively participations in outstanding customer service and serves as a primary liaison for maintained relationships that are equally respectful of all. Diligently assists with the business relationship and advances AHS strategic and tactical objectives with each assigned payer.

    The value you'll bring to the team:

    · NEGOTIATION-15%

    · SYSTEMS (5%)

    · REGIONAL REPRESENTATION (15%)

    · DEADLINES AND TIMELINESS (15%)

    · COMMUNICATION (10%)

    · SUPPORT (10%)

    · PERFORMANCE STANDARDS (10%)

    · DEVELOPMENT, EDUCATION AND TRAINING (15%)

    Qualifications

    The expertise and experiences you'll need to succeed:

    KNOWLEDGE AND SKILLS REQUIRED:

    • Understands the basic functions of a large integrated healthcare system.

    • Understands key elements of a contract as well as negotiation practices and processes

    • Can develop, implement, and execute research plans

    • Strong organizational skills

    • Self-motivated with the flexibility to multitask and restructure priorities in a fast-paced environment

    • Professional attitude and conduct

    • Typing: 35 wpm

    • Word processing, spreadsheet, and database proficiency

    • Proficiency with email, computer calendar, and web-based meetings and resources

    • Excellent communication skills, both verbal and written

    EDUCATION AND EXPERIENCE REQUIRED:

    • Bachelor's Degree in healthcare, finance, communications, business, or similar, or equivalent work experience

    • Five or more years' experience in healthcare or insurance

    • Minimum of three years training or experience in contract negotiations and/or contract administration and implementation

    EDUCATION AND EXPERIENCE PREFERRED:

    • One- to three years' experience working with a large, multi-hospital integrated delivery healthcare system

    This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

    Category: Managed Care

    Organization: AdventHealth Corporate

    Schedule: Full-time

    Shift: 1 - Day

    Req ID: 24015293

    We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

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