Contracts Specialist
About The Position
Are you a Contracts and Managed Care Professional looking for a great company with a great mission and culture? Then consider joining Devereux Florida as a Finance Analyst! Devereux provides mental and behavioral health services as well as child welfare case management services for children, adolescents and adults whose needs are extra ordinary. As a Contracts Specialist, you will submit monthly rosters to all Managed Medicaid agencies (new hires, changes, terminations), complete re-credentialing applications for Florida Medicaid programs, Medical Doctors (MDs) and ARNPs, and renew Florida Medicaid provider numbers. You will also credential all new MD and ARNP hires with Managed Medicaid agencies, complete system configuration requests in myAvatar (guarantor rates), manage contract tracking and related Excel spreadsheets, and maintain spreadsheets for Managed Care, commercial insurance, and Medicaid. Additionally, you will coordinate and manage Managed Care audits (including medical record submissions), process contracts, amendments, funding letters, and single case agreements, and organize and lead meetings with Managed Care agencies (contracting, credentialing, claims).
Requirements
- Bachelor's degree in Finance, Business or related required OR In lieu of bachelor's degree: 5+ years experience in Contracts or Managed Care can substitute for education required
- Experience in managed care, credentialing, or healthcare administration preferred.
- Strong communication and organizational skills.
- Ability to work independently and manage multiple tasks.
- Familiarity with CAQH, Medicaid processes, and insurance credentialing preferred.
- Valid driver's license required
- Successfully pass pre-employment medical screenings which include: Drug Screen.
- Successfully pass a Level 2 background screening with the State of Florida.
Nice To Haves
- Experience in managed care, credentialing, or healthcare administration
- Familiarity with CAQH, Medicaid processes, and insurance credentialing
Responsibilities
- Submit monthly rosters to all Managed Medicaid agencies (new hires, changes, terminations)
- Complete re-credentialing applications for: Florida Medicaid programs, Medical Doctors (MDs) and ARNPs, Renew Florida Medicaid provider numbers
- Credential all new MD and ARNP hires with Managed Medicaid agencies
- Complete system configuration requests in myAvatar (guarantor rates)
- Manage contract tracking and related Excel spreadsheets
- Maintain spreadsheets for Managed Care, commercial insurance, and Medicaid
- Coordinate and manage Managed Care audits (including medical record submissions)
- Process contracts, amendments, funding letters, and single case agreements
- Organize and lead meetings with Managed Care agencies (contracting, credentialing, claims)
Benefits
- Up to 24 PTO days/year (increases with service)
- Up to 64 hours of sick time
- Low-cost medical, dental, vision Devereux Benefits
- 403(b) retirement plan
- ASCEND Tuition Program
- Student loan repayment assistance
- Payactiv: Access your earned wages early
- Employee Assistance Program & Discounts
- Medical (including telemedicine via phone, web, app), dental, prescription drug, preventative care, and mental health services.
- Student loan debt assistance, tuition reimbursement and continuing education assistance.
- Generous time-off (start accruing 1st day), 403(b) retirement plan with matching benefit, and voluntary/employee paid supplemental life and accident coverage.
- Employee assistance / work-life balance program.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
