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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. Its 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 Full time 8am-5pm

**Job Location** : Hybrid- 3 days onsite Maitland, FL

The role you will contribute:

The Managed Care Coordinator is a responsible member of a multi-disciplinary team. S/he represents AdventHealth to payors, serving to validate that payors contractual obligation in terms of updated fee schedules and modifications to contracts. S/he must manage the contracts, therefore, must have a high degree of understanding of the requirements of each Agreement for all hospital, ancillary, and physician services. In addition, s/he must communicate regularly with clinical and support staff in order to obtain the optimum reimbursement, decrease operational overhead, and maximize patient benefits.

The value you will bring to the team:

+ 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.

The expertise and experiences you'll need to succeed:

3 years of managed care or position-related experience

General knowledge of healthcare, hospital and provider operations, and managed care payer contracts and operations.

Must have a high degree of understanding of the managed care payers and managed care contracting requirements.

Knowledge of healthcare, hospital/provider operations and managed care payer operations.

Preferred Qualifications:

Bachelor's Degree

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:** 25040388

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.