Managed Care Specialist II
2 days ago
The University of California, Irvine seeks a skilled Managed Care Specialist II to join our team. This role is responsible for managing the implementation of new and amended contracts, providing updates and clarifying contract-related information to internal departments, and working effectively with Medical Center, Community Hospital Network, Medical Group, and School of Medicine coworkers to resolve operational issues with payors in a timely manner.
Key Responsibilities- Manage the implementation of new and amended contracts, ensuring timely and accurate execution.
- Provide updates and clarify contract-related information to internal departments, ensuring seamless communication and collaboration.
- Work effectively with Medical Center, Community Hospital Network, Medical Group, and School of Medicine coworkers to resolve operational issues with payors, promoting a culture of collaboration and problem-solving.
- Maintain the contracting SharePoint site, ensuring accurate and current information is readily available.
- Support the maintenance of credentialing and fee schedule information for all UCI Health facilities, ensuring compliance with regulatory requirements.
- Collaborate with contract managers to negotiate single-patient agreements, promoting efficient and effective contract management.
- Strong analytical and problem-solving skills, with the ability to think critically and creatively.
- Excellent written and verbal communication skills, with the ability to effectively communicate with diverse stakeholders.
- Ability to work effectively in a constantly changing environment, with a strong focus on adaptability and flexibility.
- Ability to maintain a work pace appropriate to the workload, with a strong focus on productivity and efficiency.
- Ability to establish and maintain effective working relationships across the organization, promoting a culture of collaboration and teamwork.
- Knowledge of University and Medical Center policies and processes, with a strong understanding of regulatory requirements.
The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.
We are committed to attracting and retaining a diverse workforce, honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
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