Intermediate Contract Negotiator Managed Care

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 Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Full time

Shift

Day (United States of America)

Address

2600 LUCIEN WAY

City

MAITLAND

State

Florida

Postal Code

32751

Job Description

Contributes to the timely start of contract negotiation activities by compiling information through research and coordination with other Managed Care or AdventHealth departmental leaders and making recommendations as requested. Accepts responsibility for the contracting process relative to assigned health plans by coordinating with other Managed Care teams and outside business units as applicable to identify contract implementation elements and opportunities. Exhibits aptitude in conducting research using applicable reports (e.g. financial statements, impact analyses, database systems, etc.) to effectively contribute to contract negotiation and issue resolution. Assists the strategy development and implementation of assigned AdventHealth providers by serving as a managed care liaison to help advance the initiatives of those providers within the overall scope of AdventHealth managed care strategy. Assists AdventHealth provider business unit and senior leadership in strategy development advancing AdventHealth initiatives by evaluating new managed care opportunities related to identified health plan strategies (e.g. strategic business decisions, publications, behavioral trends, new product lines, benefit design, etc.) to appropriately respond to perceived healthcare market changes. Completes tasks in a timely manner by adhering to timetables and expectations established by senior leadership, contributing to the effective adherence to AdventHealth strategic goals. Effectively communicates with coworkers, leadership, AdventHealth as well as outside business unit leaders, and health plans through verbal and written messages establishing a clear, professional, and courteous position on behalf of AdventHealth. Supports ongoing managed care processes by assisting in the development of information and documents such as contract language and negotiation strategies for the purpose of enhancing performance standards in the Managed Care department. Other duties as assigned. Represents AdventHealth as lead negotiator for assigned mid-level and low-level tier managed care health plans in facilitating contract negotiations with AdventHealth business divisions to further strategic, tactical, and operational goals. Contributes to contract negotiations by providing applicable subject matter expertise related to specific managed care or contract negotiation topics to contribute to strategic alignment with contracted health plans. Seeks resolution to managed care issues by collecting and interpreting contract performance information (e.g. claims volumes, quality and efficiency reports, participation gap analysis, accounts receivable data, etc.) to preserve the integrity of those contracts. Applies negotiation services by contributing to meetings and projects, acting as a primary liaison as assigned in service of AdventHealth strategic initiatives.

Schedule/Shift: Hybrid (3 days onsite), must reside in Central Florida area. Monday-Friday 8am-5pm est.

Knowledge, Skills, And Abilities

• Understands the basic functions of a large integrated healthcare system. [Required]
• Understands key elements of a contract as well as negotiation practices and processes [Required]
• Can develop, implement, and execute research plans [Required]
• Strong organizational skills [Required]
• Self-motivated with the flexibility to multitask and restructure priorities in a fast-paced environment [Required]
• Professional attitude and conduct [Required]
• Typing: 35 wpm [Required]
• Word processing, spreadsheet, and database proficiency [Required]
• Proficiency with email, computer calendar, and web-based meetings and resources [Required]
• Excellent communication skills, both verbal and written [Required]

• Bachelor's [Required]

• Bachelor's in healthcare, finance, communications, or business Required

• 3+ experience working with a large, multi-hospital integrated delivery healthcare system [Preferred]
• 3+ training or experience in contract negotiations and/or contract administration and implementation [Required]
• 5+ experience in healthcare or insurance [Required]

• N/A

• N/A

Physical Requirements - https://tinyurl.com/23km2677

Pay Range

$54,680.66 - $101,717.57

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:

https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.