Senior Contracting Negotiator Managed Care

Our promise to you:

Joining Advent Health 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. Advent Health 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.

• Benefits from Day One:
  Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Full time

Day (United States of America)

2600 LUCIEN WAY

MAITLAND

Florida

32751

Effectively makes strategic recommendations to Advent Health provider business units and senior leadership to advance Advent Health initiatives by evaluating new managed care opportunities related to identified health plan strategies (e.g. strategic business decisions, publications, behavioral trends, new product lines, benefit design, etc.) to appropriately respond to perceived healthcare market changes. Manages tasks to completion by developing timetables, milestones, and deadlines with the help of senior leadership to ensure the timely adherence to Advent Health strategic goals.

Effectively communicates with coworkers, leadership, Advent Health as well as outside business unit leaders, and health plans through verbal and written messages establishing a clear, professional, and courteous position on behalf of Advent Health. Refines ongoing managed care processes by developing information and documents such as contract language and negotiation strategies for the purpose of enhancing performance standards in the Managed Care department.

Represents Advent Health as lead negotiator for assigned top-tier and mid-level tier managed care health plans in facilitating contract negotiations with Advent Health business divisions to further Advent Health strategic, tactical, and operational goals. Assumes the role of a subject matter expert during contract negotiations by displaying proficiency and distinction related to managed care and contract negotiation topics with the intention of maintaining strategic alignment with contracted health plans.

Seeks resolution to managed care issues by collecting and interpreting contract performance information (e.g. claims volumes, quality and efficiency reports, participation gap analysis, accounts receivable data, etc.) to preserve the integrity of those contracts. Acts as a primary liaison for the Advent Health Managed Care department by leading or contributing to meetings and projects in service of Advent Health strategic initiatives.

Ensures the timely start of contract negotiation activities by ensuring that all necessary information relative to achieving successful negotiation is prepared and ready by performing research and coordinating with other Managed Care or Advent Health departmental leaders and making recommendations as needed. Accepts responsibility for the overall contracting process by coordinating with other Managed Care teams and outside business units as applicable to identify contract implementation elements and opportunities.

Exhibits research proficiency using applicable reports (e.g. financial statements, impact analyses, database systems, etc.) to effectively lead in contract negotiation and issue resolution. Assumes responsibility as a managed care liaison to assigned Advent Health providers by leading or contributing as needed to contracting strategy development and implementation for the purposes of advancing the initiatives of those providers within the overall scope of Advent Health managed care strategy.

Other duties as assigned.

Full-Time M/W/Th in office in Maitland, FL. Open to remote if not located within a 55-mile radius of office location.