Senior Contracting Negotiator - Managed Care

About the role

AdventHealth is hiring a Senior Contracting Negotiator for its Managed Care department in Maitland, Florida. The role advises provider business units and senior leadership on new managed care opportunities, negotiates contracts with health plans and acts as a subject matter expert on managed care and contract negotiation.

Key responsibilities

• Evaluate new managed care opportunities (strategic decisions, publications, behavioral trends, new products, benefit design) and make strategic recommendations to provider units and leadership.
• Manage tasks to completion with timetables, milestones and deadlines set with senior leadership.
• Communicate clearly and professionally with coworkers, leadership, business unit leaders and health plans.
• Develop contract language and negotiation strategies to improve performance standards in the Managed Care department.
• Act as lead negotiator for assigned top-tier and mid-level tier managed care health plans, representing AdventHealth in contract negotiations.
• Use contract performance data (claims volumes, quality and efficiency reports, participation gap analysis, accounts receivable) to resolve issues and protect contract integrity.
• Lead or contribute to meetings and projects, prepare information needed for negotiations and coordinate with other Managed Care teams and outside business units.
• Support assigned providers in developing and implementing contracting strategy.

Required profile

• Bachelor's degree in healthcare or a related field (required); Master's preferred.
• 5+ years of training or experience in contract negotiations, contract administration and implementation (required).
• 7+ years of experience in healthcare or insurance (required).
• Direct experience with managed care contract negotiation, administration or implementation (required).
• Preferred: experience with a multi-hospital integrated delivery healthcare system.

Required skills

• Understanding of contract elements, negotiation practices and processes.
• Research planning, organization and multitasking in a fast-paced environment.
• Typing speed of 35 wpm.
• Word processing, spreadsheet and database proficiency.
• Excellent verbal and written communication.

What we offer

• Medical, dental, vision, life and disability insurance from day one.
• Paid time off and 4 weeks of fully paid parental leave.
• 403(b) retirement plan and career development resources.
• Mental health support and pet benefits.
• Full-time hybrid schedule, with M/W/Th days in the Maitland office.