<p>Position Summary Responsible for supporting the Senior Director in all managed care contract negotiations and contract management. Works to ensure that all negotiations as well as day-to-day operations yield the most favorable financial and administrative terms for the Orlando Health system. <em>Must have experience in a healthcare setting</em> Office location: Downtown Orlando, Southgate Commerce Blvd Schedule: Monday through Friday, variation of 8:00pm - 5:00pm Responsibilities Ensures all payor rate sheets are reviewed and approved prior to loading in Epic, all contract matrices are updated timely, and payor performance is monitored regularly. Creates, maintains, and reviews monthly dashboards to assess payor performance, including but not limited to expected vs actual reimbursement, days in AR, denial rates, and patient bad debt percentage. Coordinates analytical efforts with Analysts of Hospital, Physician, and Specialty Contracting to ensure that all Orlando Health services are addressed during negotiations. Initiates process and technology improvements to optimize Orlando Health's contract management abilities. Manages process to regularly update Orlando Health website with correct list of accepted insurances, to maintain compliance with state and federal transparency regulations. Supports Senior Director to address ancillary-related payor issues, including but not limited to authorizations and accounts receivable. Participates in payor Joint Operating Committee (JOC) meetings for ancillary services, integrating with Hospital, Physician, and Specialty Contracting Analysts as necessary. Assists with projects to add ancillary services and locations, either via acquisition or new construction, to existing Orlando Health managed care contracts within acceptable time frames. Collaborates with Credentialing Verification Organization (CVO) to ensure all ancillary services and locations are properly credentialed and recredentialed. Work with CVO to ensure payor directory listings are accurate. Works with Employer Solutions Partner (ESP) team to align on payor strategy, educate Orlando Health staff, and implement operational workflow processes. Aligns with Population Health/Value Based Care team to leverage Orlando Health performance with payors. Participates in system-wide education and training program for front line and back-end revenue cycle staff. Facilitates in-person learning as well as online resources. Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards. Maintains compliance with all Orlando Health policies and procedures. Other Related Functions Demonstrates proficiency in Orlando Health's Core Competencies: Connection - builds partnerships and works collaboratively with others to meet shared objectives. Communication - develops and delivers communications that convey a clear understanding of the unique needs of different audiences. Curiosity - maintains a mindset of continuous learning and seeks out resources as needed. Commitment - holds self and others accountable to meet commitments Works as a team player in facilitating efficient and effective assistance to colleagues throughout the Orlando Health system. Keeps abreast of legislative changes affecting Orlando Health. Maintains confidentiality. Assumes responsibility for professional growth and development. Represents Orlando Health through community interaction. Qualifications Education/Training Bachelor's degree in healthcare administration, business administration, finance, or closely related field preferred. Four years of contract management or healthcare analytical experience may be substituted for educational requirement. Experience Two years of contract management or healthcare analytical experience required.</p> <p>Education/Training Bachelor's degree in healthcare administration, business administration, finance, or closely related field preferred. Four years of contract management or healthcare analytical experience may be substituted for educational requirement. Experience Two years of contract management or healthcare analytical experience required.</p> <p>Ensures all payor rate sheets are reviewed and approved prior to loading in Epic, all contract matrices are updated timely, and payor performance is monitored regularly. Creates, maintains, and reviews monthly dashboards to assess payor performance, including but not limited to expected vs actual reimbursement, days in AR, denial rates, and patient bad debt percentage. Coordinates analytical efforts with Analysts of Hospital, Physician, and Specialty Contracting to ensure that all Orlando Health services are addressed during negotiations. Initiates process and technology improvements to optimize Orlando Health's contract management abilities. Manages process to regularly update Orlando Health website with correct list of accepted insurances, to maintain compliance with state and federal transparency regulations. Supports Senior Director to address ancillary-related payor issues, including but not limited to authorizations and accounts receivable. Participates in payor Joint Operating Committee (JOC) meetings for ancillary services, integrating with Hospital, Physician, and Specialty Contracting Analysts as necessary. Assists with projects to add ancillary services and locations, either via acquisition or new construction, to existing Orlando Health managed care contracts within acceptable time frames. Collaborates with Credentialing Verification Organization (CVO) to ensure all ancillary services and locations are properly credentialed and recredentialed. Work with CVO to ensure payor directory listings are accurate. Works with Employer Solutions Partner (ESP) team to align on payor strategy, educate Orlando Health staff, and implement operational workflow processes. Aligns with Population Health/Value Based Care team to leverage Orlando Health performance with payors. Participates in system-wide education and training program for front line and back-end revenue cycle staff. Facilitates in-person learning as well as online resources. Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards. Maintains compliance with all Orlando Health policies and procedures. Other Related Functions Demonstrates proficiency in Orlando Health's Core Competencies: Connection - builds partnerships and works collaboratively with others to meet shared objectives. Communication - develops and delivers communications that convey a clear understanding of the unique needs of different audiences. Curiosity - maintains a mindset of continuous learning and seeks out resources as needed. Commitment - holds self and others accountable to meet commitments Works as a team player in facilitating efficient and effective assistance to colleagues throughout the Orlando Health system. Keeps abreast of legislative changes affecting Orlando Health. Maintains confidentiality. Assumes responsibility for professional growth and development. Represents Orlando Health through community interaction.</p>