Managed Care Specialist (Finance)

Description

Are you a Contracts and Managed Care Professional looking for a great company with a great mission and culture?  Then consider joining Devereux Florida as a Finance Analyst (Contracts / Managed Care)!

Devereux provides mental and behavioral health services as well as child welfare case management services for children, adolescents and adults whose needs are extra ordinary. As a Contracts / Managed Care Specialist, you will:

• Distribute monthly rosters to programs for updates on new hires, changes, and terminations.
• Complete specific roster templates and conduct audit reviews for MMAs.
• Coordinate with contract representatives and network providers to resolve claims issues.
• Facilitate the credentialing process for new programs joining MMAs or insurance companies.
• Re-credential existing programs and providers as required.
• Attest and update MDs’ CAQH accounts.
• Process contracts from MMAs and prepare summaries for SCAs, amendments, and contracts.
• Demonstrate cultural and age-specific competencies in interactions with clients, coworkers, and customers.
• Perform other duties as assigned by the Supervisor or Management.
• Complete credentialing for new MDs and ARNPs joining MMA plans.
• Apply for Florida Medicaid numbers for providers during onboarding.
• Complete special projects within designated timeframes.

Position Details:

Salary:  Ranges from $20.25- $23.09 / hr(rate is based on education and relevant experience)

Schedule:  Full time position;Monday-Friday 

Location: in-person on-site

Benefits and Rewards

We strive to create an inclusive environment, and retain the talented employees who make our organization a great place to work. We offer:

• Paid time off (24 days per year, increase with years of service); Sick time (64 hours per year)

• Retirement – 403(b) through TIAA
• Quality Low-Cost Benefits (medical, dental, vision), pet insurance, plus student loan debt assistance and 30-day benefit eligibility waiting period for new hires! http://mydevereuxbenefits.org
• ASCEND - Tuition Program You deserve to work somewhere that gives back to you! Devereux is proud to offer ASCEND – the first career accelerator program exclusively designed to give behavioral healthcare workers – the career guidance, one-on-one coaching, skills and financial assistance you need to reach your full potential. This program includes 100% of tuition covered (up to $15k reimbursed annually for undergraduate and $25k reimbursed annually for graduate)!  Learn more here.
• ASCEND - Student Loan Repayment -Let Devereux help pay back your student loans with student loan repayment!  Learn more here.

• Free access to Payactiv, a platform to get a portion of your earned wages between pay periods

• Employee Assistance Program and Employee Discounts – Available the first day of employment through Carebridge

• Service Awards – All employees celebrating a five-year increment (5, 10, 15, etc.) anniversary receive taxable compensation in recognition of their long-term commitment to Devereux.

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Qualifications

Education:

• Bachelor's degree in Finance, Business or related required

OR

• In lieu of bachelor's degree: 5+ years experience in Contracts or Managed Care can substitute for education required

Experience:  

• Experience in managed care, credentialing, or healthcare administration preferred.
• Strong communication and organizational skills.
• Ability to work independently and manage multiple tasks.
• Familiarity with CAQH, Medicaid processes, and insurance credentialing preferred.

Other:

• Valid driver's license required
• Successfully pass pre-employment medical screenings which include: Drug Screen.

Place of work