Contract Performance Specialist – AdventHealth PHSO Resources

All the benefits and perks you need for you and your family:

Benefits from Day One

Paid Days Off from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

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 8AM-5PM

Location: 2600 Lucien Way, Maitland, FL 32751

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. * Responsible for panel management upon movements of providers to new location(s) or termination of provider. * Assists in identifying and working to have patient panels either opened or closed. Collaborates with practices to shift patients to remaining providers, as appropriate. * Assists with creation of educational material to educate internal and external stakeholders on terms and conditions of contracts that change over time. * Performs other duties and tasks as assigned.

The expertise and experience 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 qualifications:

Bachelor’s degree in a health-related field

Experience with population health improvement programs

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Legal

Organization: AdventHealth PHSO Resources

Schedule: Full-time

Shift: 1 - Day

Req ID: 25017025

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.