Specialist II, Contract Operations

DaVita Kidney Care•Federal Way, WA

4d•$23 - $29

About The Position

ESSENTIAL DUTIES & RESPONSIBILITIES The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all-inclusive. Research and review contract language as needed: Track portfolio performance Provide language strength analyses as needed (e.g. BDP, ad-hoc projects) Respond to inquiries on facility contracting from internal and external sources Prepare and send official notices to payors per contractual requirements Create facility lists to be included as exhibits in contracts or amendments using existing databases & queries Maintain confidentiality of upcoming deals or negotiations when required Understand contracting strategies to analyze payor/facility relationships Participate in meetings with other departmental teams and committees as necessary to facilitate solutions on payor issues Evaluate and report key performance metrics to department management Provide recommendations to improve policies, procedures, and performance Other duties and responsibilities as assigned: Work overtime with little or no notice as needed Attend team meetings, phone conferences and training as needed Know, understand, and follow teammate guidelines, employment policies, and department or company procedures Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position. Here is what you can expect when you join our Village: • A "community first, company second" culture based on Core Values that really matter. • Clinical outcomes consistently ranked above the national average. • Award-winning education and training across multiple career paths to help you reach your potential. • Performance-based rewards based on stellar individual and team contributions. • A comprehensive benefits package designed to enhance your health, your financial well-being and your future. • Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation. Enter text here Join us as we pursue our vision "To Build the Greatest Healthcare Community the World has Ever Seen." Why wait? Explore a career with DaVita today. Go to http://careers.davita.com to learn more or apply. What We’ll Provide: More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings. Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning. At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

Requirements

High school diploma or equivalent required
Strong verbal and written communication skills (excellent grammar, spelling, ability to effectively verbalize concepts).
Minimum of two (2) years’ healthcare claims administration, contracting, or payor experience required
Intermediate computer skills and proficiency in MS Excel, Outlook, Access required; ability to use Internet effectively required

Nice To Haves

Associate’s degree in related field strongly preferred
Demonstrated knowledge of healthcare contracts preferred
Basic familiarity with Oracle Financial System and an electronic billing system strongly preferred

Responsibilities

Research and review contract language as needed
Track portfolio performance
Provide language strength analyses as needed (e.g. BDP, ad-hoc projects)
Respond to inquiries on facility contracting from internal and external sources
Prepare and send official notices to payors per contractual requirements
Create facility lists to be included as exhibits in contracts or amendments using existing databases & queries
Maintain confidentiality of upcoming deals or negotiations when required
Understand contracting strategies to analyze payor/facility relationships
Participate in meetings with other departmental teams and committees as necessary to facilitate solutions on payor issues
Evaluate and report key performance metrics to department management
Provide recommendations to improve policies, procedures, and performance
Other duties and responsibilities as assigned
Work overtime with little or no notice as needed
Attend team meetings, phone conferences and training as needed
Know, understand, and follow teammate guidelines, employment policies, and department or company procedures
Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position.