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.