Contracting Administrator
Job Description
Date Posted:
2023-11-27
Country:
United States of America
Location:
Florida - Remote
WHY JOIN FCS
At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages.
Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.
A LITTLE BIT ABOUT FCS
Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval.
Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients.
Come join us today!
Summary:
Under the oversight of the Program Manager, Strategic Partnerships the Contracting Administrator is responsible for a variety of duties associated with the processing, implementation, and maintenance of managed care contracts. Maintaining contract records, pertinent data tables, contract rates and terms. Responsible for plan setups and ongoing plan maintenance in practice management software system. Assists Program Manager with internal and external inquires, payer issues and payer education.
PRIMARY TASKS AND RESPONSIBILITIES:
- Identify, secure, and process Single Case Agreements with non-contracted customers in coordination with internal and external stakeholders.
- Identify, secure, and process Claim Settlements with non-contracted customers in coordination with internal and external stakeholders.
- Process payer contract amendments as needed.
- Ensure internal customers are appropriately informed of key contract and payer data elements in various manners, including but not limited to department SharePoint, payer matrix, communications, and meetings.
- Utilize tracking tools to ensure timely resolution of pending payer agreements, related tasks, and pertinent data.
- Maintain contract rates and terms.
- Review contract files for accuracy and ensure files are stored in an organized manner.
- Review and process plan setups and plan updates in practice management software system in coordination with internal stakeholders in a timely manner.
- Assist with escalated payer issues/inquiries and resolution as needed in coordination with internal and external stakeholders.
- Assist with payer education as needed with internal stakeholders.
- Assist with developing department standard operating procedures and guides.
- Additional tasks as needed to support team
EDUCATION/CERTIFICATIONS & LICENSES:
- Bachelor’s Degree in Health Administration or High School Diploma with equivalent relevant experience
EXPERIENCE:
- Minimum of five (5) years of experience in managed care, provider relations, contracting or related field.
CORE COMPETENCIES, KNOWLEDGE/SKILLS/ABILITIES:
Essential competencies and KSAs targeted to successfully performing in role:
- Analysis & Critical Thinking:
Demonstrates critical thinking skills including solid problem solving, troubleshooting and independent decision-making. Makes effective decisions and proactively accesses impact.
- Interpersonal Effectiveness:
Developed interpersonal skills, emotional intelligence, diplomacy tact and diversity awareness. Ability to work effectively with sensitive and confidential material.
- Communication Skills:
Effective communication skills, including verbal, written, presentation and is an active listener and provides balanced feedback.
- Quality:
Must be detailed oriented. Handles matters in a timely manner and escalates accordingly.
- Self-Management:
Effectively manages own time, conflicting priorities, self, stress, and professional development. Self-motivated and self-starter with ability to work independently with limited supervision. Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands.
- Computer Skills:
Proficiency with Microsoft Windows applications (MS-Word, MS-Excel, MS-Power Point, & SmartSheets)
VALUES:
- Patient First – Keeping the patient at the center of everything we do
- Accountability – Taking responsibility for our actions
- Commitment & Care – Upholding FCS vision through every action
- Team – Working together, one team, one mission
Expectations for all Employees
Every FCS employee is expected to regularly conduct themselves in a professional and respectful manner, to comply with all labor laws, workplace policy and workplace practices. Employees are expected to bring issues of any forms of workplace harassment, discrimination, or other potential improprieties to the attention of their management or the human resources department.
EEOC
Florida Cancer Specialists & Research Institute (FCS) is committed to helping individuals with disabilities to participate in the workforce and ensure equal opportunity to compete for jobs. If you require an accommodation to submit a resume for positions at FCS, please email FCS Recruitment (
Recruiter@FLCancer.com
) for further assistance. Please note this email address is intended to request an accommodation as part of the application process. Any other correspondence will not receive a response.FCS is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status.
SCREENINGS – Background, drug, and nicotine screens
Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. All offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening. Additionally, as a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza and COVID-19 vaccines, barring an approved exemption. In addition, FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing.
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