Communication Skills, Contract Management, Corporate Planning, Cross-Functional, Follow Through, Health Insurance, Health Plan, Healthcare, Healthcare Administration, Healthcare Providers, Maintain Compliance, Managed Care, Operational Strategy, Operational Support, Operations Management, Patient Care, Policy Development, Process Improvement, Process Management, Project/Program Coordination, Record Keeping, Regulatory Compliance, Regulatory Requirements
Enjoy long-term hybrid flexibility while helping coordinate projects and contract operations across the health system.
Work Style: Onsite (Hybrid opportunity after training)
Location: Gainesville, FL
FTE: Full-Time (1.0 FTE)
Supports the planning, coordination, and execution of key Managed Care initiatives, with a focus on contracting, payer relations, and network enrollment operations.
Serves as a central point of coordination across cross-functional teams, ensuring alignment of project activities, timelines, and deliverables. Drives assigned initiatives forward through effective planning, clear communication, and consistent follow-through while maintaining visibility into progress, risks, and outcomes.
Provides operational support across the contract lifecycle, contributing to system-wide efforts to enhance coordination, standardization, and efficiency within Managed Care operations.
Responsibilities:
Key Responsibilities
- Facilitates communication among healthcare providers, insurance companies, and patients.
- Manages patient authorizations, referrals, and verifies insurance coverage.
- Guides patients through the managed care process.
- Monitors care plans to ensure compliance with established protocols.
- Collaborates with medical staff to promote cost-effective, high-quality patient care.
- Maintains accurate records in support of managed care policies and regulatory requirements.
- Supports the implementation of managed care policies and process improvements to enhance operational efficiency.
Qualifications:
Required Qualifications
Education
• Bachelor’s degree in Healthcare Administration, Business, or a related field preferred, or an equivalent combination of education and relevant experience
- 2+ years of experience in managed care coordination, healthcare administration, or a related healthcare setting.
- Knowledge of patient authorization, referral processes, and insurance coverage verification.
- Experience collaborating with healthcare providers, medical staff, and insurance payers.
- Strong organizational, documentation, and record-keeping skills.
- Familiarity with managed care policies, healthcare regulations, and compliance requirements.