Consultant, Managed Care Policy, Baptist Health

Job SummaryBaptist Health is hiring a Managed Care Policy Consultant for our Managed Care team! This is a fully remote opportunity located in Jacksonville, Florida. Approved work states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia and WyomingManaged Care Policy Consultant, Job ResponsibilitiesProactively identifies, analyzes and resolves payer contract, underpayments and policy discrepancies and initiates timely contract disputes to recover lost revenue.Investigate identified trends and payer issues to identify root causes and will develop solutions and communicate with internal and external contacts to resolve payer issues.Collaborate with internal departments, including Revenue Integrity, Billing, Patient Access, Operations and Finance to develop thorough responses to plans.Draft Notices and Formal Disputes to send to plans or government entities.Have a deep understanding of healthcare operations, contract law, and regulatory frameworks, and is detail-oriented, self-directed, and capable of managing multiple complex projects simultaneously.Experience Requirements7+ years experience in Legal, Revenue Cycle and Managed Care required. Education & Credential RequirementsBachelor’s DegreeJuris Doctor PreferredIf you are interested in this Managed Care Policy Consultant position at Baptist Health, please apply today!Preferred Required Education Required Education Preferred BSExperienceRevenue Cycle ExperienceManaged Care ExperienceLegal Experience License and Certification Location Metro Square3563 Philips HwyJacksonville, , 32207