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Salary
Contract Performance Specialist - Primary Health Division
All the benefits and perks you need for you and your family:
- Benefits from Day One
- Paid Days Off from Day One
- Wellness Programs
Our promise to you:
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.
Schedule: Full-time
Shift: Monday-Friday 8:00 am - 5pm
Location: Fully Remote| CP AHS Headquarters
The community you’ll be caring for:
- Join a team that provides exceptional patient-based care.
- Collaborative teams that work together for a common goal
- Compassionate and supportive leaders ensure work life balance for team members and providers without compromising patient care.
The role you’ll contribute:
The Contract Performance Specialist position focuses specifically on the management of the Fee for Service Contract Operations for the Primary Health Division. The Contract Performance Specialist will partner with a number of internal departments at AdventHealth, including Managed Care, Contracting, Data Management, regional MSOs (Management Services Organization) and payor partners to execute daily activities. The team members daily activities will include continual provider roster cleanup and alignment, patient roster cleanup and alignment, and panel management upon movement of providers to a new location or termination of provider. The team member will attend FFS payor meetings and collect and disburse educational material, program changes, and other updates from the payors to the Outreach teams, the Quality teams, and leadership as appropriate.
The value you’ll bring to the team:
- Assist in driving FFS Contract Performance through ensuring provider movement is entered timely in all systems.
- Assist in the identification of P4P financial opportunities for multiple payors.
- Liaisons with multiple internal departments to ensure monthly roster submissions to FFS payors are reviewed, corrected, and updated in all systems.
- Attends FFS payor meetings and collects collateral and contract terms and conditions for disbursement to providers and practices through the Outreach team.
- Assists in the creation and updates FFS contract “one-pagers” for leadership review.
- Must be proficient in MS Word, Excel, and PowerPoint applications.
- Ability to speak to multiple levels within a health organization and present information in varying sizes of groups via multiple channels.
The expertise and experiences you’ll need to succeed:
Minimum qualifications:
- Associates’ degree in a health-related field or 2 years’ experience in healthcare, medical practice or medical operations.
- Experience with electronic health records and/or health information/population health systems and analytics
- Basic understanding of medical terminology
Preferred experience:
- Bachelor’s degree in a health-related field
- Prefer extensive knowledge of excel, population health, insurance/payor background
- Knowledge of FFS contracts terms and conditions.
- Contracting terms and conditions, stars scores, other industry tools to rate performance in FFS/P4P contracts.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
