Contract Specialist I Managed Care

4 weeks ago


Gainesville, United States University Of Florida Health Science Center Full time

Job Opening Summary

Servea as primary point of contact with assigned managed care companies on all negotiating and operational issues. Responsible for monitoring contracts' financial performance and payor compliance with all terms and conditions. Upholds positive relations with payors and internal customers, including revenue cycle, legal, clinic/hospital operations and providers. Facilitates problem resolution, communication flow and education while also maintaining appropriate documentation of issues and activities.

Job Opening Qualifications

Minimum Education and Experience Requirements:

Bachelor's degree in business or a health care-related field required.

Advanced managed care experience may substitute for the degree on a year-by-year basis.

Requires two years in managed care industry experience in at least two of the following areas: contract language review, financial negotiation of hospital and physician contracts, provider relations, revenue cycle, financial or reimbursement analysis, NCQA/HEDIS requirements, AHCA/CMS regulations, utilization review/management, member services or account/service management (marketing).

Master's degree may substitute for the required experience on a year-by-year basis.

Prefer three to five years of managed care experience.

#J-18808-Ljbffr



  • Gainesville, United States Agensys Full time

    Job Description Job Description Job Title: Contract Specialist We are seeking an energetic, organized, and motivated Contract Specialist to join our team. The position will work most closely with the team in our Gainesville, Virginia office but may be eligible to be fully remote. Primary duties will include contract preparation and review, as well as...

  • Contracts Specialist

    2 weeks ago


    Gainesville, United States Agensys Corporation Full time

    Job DescriptionJob DescriptionJob Title: Contract Specialist We are seeking an energetic, organized, and motivated Contract Specialist to join our team. The position will work most closely with the team in our Gainesville, Virginia office but may be eligible to be fully remote. Primary duties will include contract preparation and review, as well as...


  • Gainesville, United States Agensys Corporation Full time

    Job DescriptionJob DescriptionJob Title: Contract Specialist We are seeking an energetic, organized, and motivated Contract Specialist to join our team. The position will work most closely with the team in our Gainesville, Virginia office but may be eligible to be fully remote. Primary duties will include contract preparation and review, as well as...


  • Gainesville, United States Community Care Veterinary Specialist Full time

    Who are we? What if we could create a community of supportive veterinary professionals that collectively used their individual strengths to contribute to the care of all pets? One where animal welfare is elevated by the supportive relationships between our local general practices and the best specialty care available? Our vision for a different kind of...


  • Gainesville, United States Community Care Veterinary Specialist Full time

    Who are we? What if we could create a community of supportive veterinary professionals that collectively used their individual strengths to contribute to the care of all pets? One where animal welfare is elevated by the supportive relationships between our local general practices and the best specialty care available? Our vision for a different kind of...


  • Gainesville, United States Community Care Veterinary Specialist Full time

    What if we could create a community of supportive veterinary professionals that collectively used their individual strengths to contribute to the care of all pets?  One where animal welfare is elevated by the supportive relationships between our local general practices and the best specialty care available? Our vision for a different kind of specialty...


  • Gainesville, United States Community Care Veterinary Specialist Full time

    What if we could create a community of supportive veterinary professionals that collectively used their individual strengths to contribute to the care of all pets?  One where animal welfare is elevated by the supportive relationships between our local general practices and the best specialty care available? Our vision for a different kind of specialty...


  • Gainesville, United States HCA Florida North Florida Hospital Full time

    Description IntroductionAre you looking for a place to deliver excellent care patients deserve? At HCA Florida North Florida Hospital we support our colleagues in their positions. Join our Team as a(an) RN CV Specialist Critical Care and access programs to assist with every stage of your career.BenefitsHCA Florida North Florida Hospital, offers a total...


  • Gainesville, United States HCA Florida North Florida Hospital Full time

    Job DescriptionDescription IntroductionAre you looking for a place to deliver excellent care patients deserve? At HCA Florida North Florida Hospital we support our colleagues in their positions. Join our Team as a(an) RN CV Specialist Critical Care and access programs to assist with every stage of your career.BenefitsHCA Florida North Florida Hospital,...


  • Gainesville, United States Galen College of Nursing Full time

    **Introduction**: Are you passionate about delivering superior work outcomes? At Galen College of Nursing, we are committed to a single purpose: offering excellence in nursing education. Our staff and administration live out our vision! We change the life of one to care for the lives of many. Jump-start your career as a Registrar Service Specialist today...


  • Gainesville, United States HCP Home Health Care Full time

    We are looking to add a new member to our team. We are currently interviewing for our Billing Specialist position. This position is Monday thru Friday from 830am-5pm with all major holidays off. Previous billing and authorization knowledge is **REQUIRED**. We are a Medicaid /Medicare certified home health agency. Please respond to this ad posting with your...


  • Gainesville, United States Gainesville Hyundai Full time

    Job DescriptionJob DescriptionF&I MANAGER-HYUNDAI CAR DEALERSHIPEXPERIENCED WITH A PROVEN TRACK RECORDFEMALE/MALE CAREER OPPORTUNITYBI-LINGUAL A PLUS IMMEDIATE OPENINGGAINESVILLE HYUNDAI-THE KRAUSE FAMILY AUTOMOTIVE GROUP-Be part of family-owned Dealerships that cares for its team and customers.Responsibilities include but not limited to:The Finance...


  • Gainesville, United States HCA Healthcare Full time

    Description IntroductionAre you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Medical Office Specialist today with HCA Florida North Florida Internal Medicine.BenefitsHCA Florida North Florida Internal Medicine, offers a...


  • Gainesville, United States HCA Healthcare Full time

    Description IntroductionAre you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Medica Office Specialist today with MFM Services at NFRMC.BenefitsMFM Services at NFRMC, offers a total rewards package that supports the health,...


  • Gainesville, United States HCA Healthcare Full time

    Description IntroductionAre you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Medical Office Specialist today with MFM Services at NFRMC.BenefitsMFM Services at NFRMC, offers a total rewards package that supports the health,...


  • Gainesville, United States HCA Healthcare Full time

    Description IntroductionAre you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Medical Office Specialist today with MFM Services at NFRMC.BenefitsMFM Services at NFRMC, offers a total rewards package that supports the health,...


  • Gainesville, United States HCA Healthcare Full time

    Description IntroductionAre you passionate about delivering superior work outcomes? At Galen College of Nursing, we are committed to a single purpose: offering excellence in nursing education. Our staff and administration live out our vision! We change the life of one to care for the lives of many. Jump-start your career as a Registrar Service Specialist...


  • Gainesville, United States HCA Healthcare Full time

    Description IntroductionDo you have the career opportunities as a(an) Medical Office Specialist you want with your current employer? We have an exciting opportunity for you to join HCA Florida Gainesville Surgical Group which is part of the nations leading provider of healthcare services, HCA Healthcare.BenefitsHCA Florida Gainesville Surgical Group, offers...


  • Gainesville, United States HCA Healthcare Full time

    Description IntroductionDo you have the career opportunities as a(an) Medical Office Specialist you want with your current employer? We have an exciting opportunity for you to join Gainesville Family Physicians which is part of the nations leading provider of healthcare services, HCA Healthcare.BenefitsGainesville Family Physicians, offers a total rewards...


  • Gainesville, United States Heights Finance Corporation Full time

    Overview We service our communities by offering personal installment loans designed to help our customers get the money they need when they need it. The District Support Specialist travels to branches within this local district to provide additional support where needed including training team members, providing relief for staff, and helping to achieve...