Spec Contract Mgmt

UF Health • Jacksonville, FL

98d

About The Position

Provide front line problem resolution, payor relations, and contract management for the tier II and III payors. Serves as a primary communicator and disseminator of accurate and pertinent Contracting information to key internal management and external customers. Provides second level oversight with the maintenance of the provider database and data reporting functions. Manages the Contract information, fee schedules and tools/matrices for all payors are maintained and distributed to the system in a timely manner and according to departmental policy.

Requirements

• Bachelor's degree; education may be substituted with strong experiential background.
• 2-4 years of healthcare experience in managed care operations, hospital/physician contracting, or claims processing.
• Two (2) years of experience in provider relations, network management, or provider data management/medical staff credentialing.
• Excellent verbal and written communication skills.
• Ability to handle sensitive topics and problem solve.
• Ability to work independently and with a team, with a high customer service focus.
• Demonstrates high attention to detail and accuracy.
• Strong working knowledge of provider database software, Excel spreadsheets, Word software, and a working knowledge of Visio.

Responsibilities

• Provide front line problem resolution for tier II and III payors.
• Manage payor relations and contract management.
• Serve as a primary communicator of Contracting information to internal management and external customers.
• Oversee the maintenance of the provider database and data reporting functions.
• Ensure contract information, fee schedules, and tools/matrices for all payors are maintained and distributed timely.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree