• Managed Care Contract Configuration Specialist

    BayCare Health System (Clearwater, FL)


    At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

    The Managed Care Contract Configuration Specialist:

    + Maintains in depth knowledge of the Healthcare payment methodologies, including but not limited to managed care and Federal and State healthcare programs. Maintains contract management module functionality in the current decision support systems, including but not limited to PMMC and Soarian.

    + Provide training to system employees as needed, test updates and upgrades to the decision support system software, and support application upgrades and other system function evaluations including testing and go live support related to the contract management functionality.

    + Responsible for timely implementation of contract updates including the loading, testing and evaluation of assigned contracts as well as providing management with periodic analysis and reports and maintaining quality and accuracy levels. Perform other duties as assigned.

    Minimum Qualifications:

    Required Education and Experience:

    + Bachelors degree with 5 years relevant experience required; relevant experience may include finance, reporting, accounting, programming, or database logic OR

    + Associates degree with 7 years relevant experience required; relevant experience may include finance, reporting, accounting, programming, or database logic OR

    + High School or Equivalent with 9 years relevant experience performing similar/same responsibilities. Preferred experience in Healthcare contract management; Medicare payment methodologies; Healthcare Billing; Report design tools such as Crystal.

    **Location:** Clearwater, FL (Remote)

    **Status:** Full Time, Exempt: Yes

    **Shift Hours:** 8am-5pm

    Equal Opportunity Employer Veterans/Disabled

    **Position** Managed Care Contract Configuration Specialist

    **Location** Clearwater | Business and Administrative | Full Time

    **Req ID** null