Managed Care Specialist II - Health Services Contracting - FT HYBRID
Posted on Sep 15, 2024 by University of California, Irvine
Irvine, CA
Health Care
Immediate Start
Annual Salary
Full-Time
Overview:
UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, , a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only , and American College of Surgeons-verified , and . UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.
To learn more about UCI Health, visit
Responsibilities:
Position Summary:
The incumbent manages implementation of new and amended contracts, provides, updates and clarifies contract related information to internal departments and works effectively with Medical Center, Community Hospital Network, Medical Group and School of Medicine coworkers to resolve operational issues with payors in a timely manner. This position works cooperatively with Provider Enrollment to insure that correct; accurate information is sent to the Payors. Maintains the contracting sharepoint site ensuring that information is accurate and current. Position is responsible for the maintenance of credentialing, and fee schedule information for all UCI Health facilities. Works with contract managers to negotiate single patient agreements in a timely manner. Supports our MSO, risk relationships.
Qualifications:
Total Compensation
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our and .
Required Qualifications:
Strong analytical and problem solving skills
Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties
Must demonstrate customer service skills appropriate to the job
Interest in managed care contracting
Excellent written and verbal communication skills in English
Bachelor's Degree in Business Administration or related field; or an equivalent combination of education and experience
Ability to work effectively in a constantly changing environment
Ability to maintain a work pace appropriate to the workload
Ability to establish and maintain effective working relationships across the organization
Preferred Qualifications:
Knowledge of University and Medical Center policies and processes
Conditions of Employment:
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:
Background Check and Live Scan
Legal Right to Work in the United States
Vaccination Policies
Smoking and Tobacco Policy
Drug Free Environment
The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.
California Child Abuse and Neglect Reporting Act
E-Verify
Pre-Placement Health Evaluation
Details of each policy may be reviewed by visiting the following page:
Closing Statement:
The University of California, Irvine is an . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC .
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at [email protected] or at (phone number removed), Monday - Friday from 8:30 a.m. - 5:00 p.m.
UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, , a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only , and American College of Surgeons-verified , and . UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.
To learn more about UCI Health, visit
Responsibilities:
Position Summary:
The incumbent manages implementation of new and amended contracts, provides, updates and clarifies contract related information to internal departments and works effectively with Medical Center, Community Hospital Network, Medical Group and School of Medicine coworkers to resolve operational issues with payors in a timely manner. This position works cooperatively with Provider Enrollment to insure that correct; accurate information is sent to the Payors. Maintains the contracting sharepoint site ensuring that information is accurate and current. Position is responsible for the maintenance of credentialing, and fee schedule information for all UCI Health facilities. Works with contract managers to negotiate single patient agreements in a timely manner. Supports our MSO, risk relationships.
Qualifications:
Total Compensation
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our and .
Required Qualifications:
Strong analytical and problem solving skills
Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties
Must demonstrate customer service skills appropriate to the job
Interest in managed care contracting
Excellent written and verbal communication skills in English
Bachelor's Degree in Business Administration or related field; or an equivalent combination of education and experience
Ability to work effectively in a constantly changing environment
Ability to maintain a work pace appropriate to the workload
Ability to establish and maintain effective working relationships across the organization
Preferred Qualifications:
Knowledge of University and Medical Center policies and processes
Conditions of Employment:
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:
Background Check and Live Scan
Legal Right to Work in the United States
Vaccination Policies
Smoking and Tobacco Policy
Drug Free Environment
The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.
California Child Abuse and Neglect Reporting Act
E-Verify
Pre-Placement Health Evaluation
Details of each policy may be reviewed by visiting the following page:
Closing Statement:
The University of California, Irvine is an . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC .
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at [email protected] or at (phone number removed), Monday - Friday from 8:30 a.m. - 5:00 p.m.
Reference: 200037135
https://jobs.careeraddict.com/post/95276374
Managed Care Specialist II - Health Services Contracting - FT HYBRID
Posted on Sep 15, 2024 by University of California, Irvine
Irvine, CA
Health Care
Immediate Start
Annual Salary
Full-Time
Overview:
UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, , a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only , and American College of Surgeons-verified , and . UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.
To learn more about UCI Health, visit
Responsibilities:
Position Summary:
The incumbent manages implementation of new and amended contracts, provides, updates and clarifies contract related information to internal departments and works effectively with Medical Center, Community Hospital Network, Medical Group and School of Medicine coworkers to resolve operational issues with payors in a timely manner. This position works cooperatively with Provider Enrollment to insure that correct; accurate information is sent to the Payors. Maintains the contracting sharepoint site ensuring that information is accurate and current. Position is responsible for the maintenance of credentialing, and fee schedule information for all UCI Health facilities. Works with contract managers to negotiate single patient agreements in a timely manner. Supports our MSO, risk relationships.
Qualifications:
Total Compensation
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our and .
Required Qualifications:
Strong analytical and problem solving skills
Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties
Must demonstrate customer service skills appropriate to the job
Interest in managed care contracting
Excellent written and verbal communication skills in English
Bachelor's Degree in Business Administration or related field; or an equivalent combination of education and experience
Ability to work effectively in a constantly changing environment
Ability to maintain a work pace appropriate to the workload
Ability to establish and maintain effective working relationships across the organization
Preferred Qualifications:
Knowledge of University and Medical Center policies and processes
Conditions of Employment:
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:
Background Check and Live Scan
Legal Right to Work in the United States
Vaccination Policies
Smoking and Tobacco Policy
Drug Free Environment
The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.
California Child Abuse and Neglect Reporting Act
E-Verify
Pre-Placement Health Evaluation
Details of each policy may be reviewed by visiting the following page:
Closing Statement:
The University of California, Irvine is an . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC .
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at [email protected] or at (phone number removed), Monday - Friday from 8:30 a.m. - 5:00 p.m.
UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, , a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only , and American College of Surgeons-verified , and . UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.
To learn more about UCI Health, visit
Responsibilities:
Position Summary:
The incumbent manages implementation of new and amended contracts, provides, updates and clarifies contract related information to internal departments and works effectively with Medical Center, Community Hospital Network, Medical Group and School of Medicine coworkers to resolve operational issues with payors in a timely manner. This position works cooperatively with Provider Enrollment to insure that correct; accurate information is sent to the Payors. Maintains the contracting sharepoint site ensuring that information is accurate and current. Position is responsible for the maintenance of credentialing, and fee schedule information for all UCI Health facilities. Works with contract managers to negotiate single patient agreements in a timely manner. Supports our MSO, risk relationships.
Qualifications:
Total Compensation
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our and .
Required Qualifications:
Strong analytical and problem solving skills
Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties
Must demonstrate customer service skills appropriate to the job
Interest in managed care contracting
Excellent written and verbal communication skills in English
Bachelor's Degree in Business Administration or related field; or an equivalent combination of education and experience
Ability to work effectively in a constantly changing environment
Ability to maintain a work pace appropriate to the workload
Ability to establish and maintain effective working relationships across the organization
Preferred Qualifications:
Knowledge of University and Medical Center policies and processes
Conditions of Employment:
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:
Background Check and Live Scan
Legal Right to Work in the United States
Vaccination Policies
Smoking and Tobacco Policy
Drug Free Environment
The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.
California Child Abuse and Neglect Reporting Act
E-Verify
Pre-Placement Health Evaluation
Details of each policy may be reviewed by visiting the following page:
Closing Statement:
The University of California, Irvine is an . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC .
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at [email protected] or at (phone number removed), Monday - Friday from 8:30 a.m. - 5:00 p.m.
Reference: 200037135
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