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

+ Benefits from Day One

+ Paid Time Off 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.

**Schedule:** Full Time

**Shift** : Monday – Friday

**Location:** AdventHealth Maitland, Hybrid Model in office on Mondays, Wednesdays, and Thursdays

The role you’ll contribute:

This position is responsible for managing the AdventHealth Florida and Multi-state Physician Contract Administration team. This team is responsible for contract review; as well as, the building and maintenance of rates and terms into designated contract management systems for physician and ancillary contracts within AdventHealth Florida and Multi-state Divisions. This position carries responsibilities which have direct impact on the revenue cycle of AdventHealth. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms.

This position provides guidance and direction to department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation and operation of language, policy and procedures including state and federal regulation. Enforces contract compliance and accountability and ensures adherence to the terms of the agreements by all parties. Evaluates trends in data in order to report accurate outcomes and communicate opportunities for improvement, resolve and growth. Encompasses outstanding customer service skills and is responsible for building and maintaining positive relationships with both internal and external customers

The value you’ll bring to the team:

• Skilled in building, maintaining and testing in complex contract management systems with a high degree of accuracy.

• Responsible for the accuracy of the information in the Contract Management database which serves as an informational tool for hospital departments including Directors, CFO’s and VP’s.

• Ensures appropriate documentation for record keeping of contracts and correspondence by Contract Administration for tracking and historical purposes.

• Oversees the work performed to ensure the Perceptive Content system for assigned contracts is properly and accurately maintained for documentation and historical purposes.

• Takes a lead role in managing projects such as the development of new systems, processes and operations. Gives input, leadership and guidance to system programmers and other key personnel.

• Ensures projects stay on course through delegated assignment and effective leadership of staff.

• Identifies and communicates system limitations in order to streamline and maximize utilization. Initiates tickets with AdventHealth IS or program developers as appropriate for system fixes or needed enhancements.

• Provides the necessary feedback regarding system failures or inefficiencies so that the operational function of contracts and labor performance is not compromised.

• Is a key player in high level Joint Operation Committee meeting discussions with regional PFS departments, variance and denial operations teams and Payers in order to resolve open AR and operational contract issues while actively contributing to the provider payer relationships.

• Responsible for engaging in communication with Physician Enterprise leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues.

• Ensures key stakeholders are aware of any payer policy updates, operational changes, and governmental initiatives that may have a direct or indirect impact on physician contract operations or contract terms and rates. Guides and directs facilities on processes based on this communication.

• Initiates and participates in internal and external meetings with the purpose to resolve issues, collaborate, strategize and provide feedback for developing action plans for current or future revenue opportunities.

• Effectively communicates with department Directors, CFO’s, and Vice President regarding major payer issues that could have significant impact; either financially or operationally.

• Takes a lead role in the collaboration and communication with outside vendors hired to facilitate the organization in certain initiatives including but not limited to account audits, system development, integrated partnership etc.

• Required to play an active role in the development of new Contract Management systems as well as other products, policies and procedures that would impact the Managed Care team relative to processes and workflows.

Qualifications

The expertise and experience you’ll need to succeed** **:

+ Certification in EPIC Contract Management

+ Bachelors in Business Administration, Healthcare Administration, or related field

+ 7 years of specific training and / or extensive experience in Managed Care, Patient Financial Services, or Provider Relations

+ 2 years in Management

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:** 25017681

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.