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Administrator, Payor Partnerships (Lab) at DaVita
DeLand, FL 32724, USA - Full Time
Skills Needed
Internet, Outlook, Regulations, Computer Skills, Cms, Contract Negotiation, Payer, Excel
Qualification
Graduate
Care Coordinator / Medical Office Assistant - HYBRID - Omaha/Lincoln at DaVita
Falmouth, MA 02540, USA - Full Time
Skills Needed
Ged, Discretion, Communication Skills
Qualification
Diploma
Experience Required
Minimum 1 year(s)
Senior Staff Nurse- North Wandsworth at DaVita
Wandsworth, England, United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Assistant Facility Administrator at DaVita
Glendale, WI 53209, USA - Full Time
Skills Needed
Excel, Outlook, Computer Skills, Business Applications
Qualification
Diploma
Experience Required
Minimum 2 year(s)
Biomed Service Specialist – Field Technician at DaVita
Milford, CT 06460, USA - Full Time
Skills Needed
Hospitals, Outlook, Excel, Computer Skills, Tech Savvy, Ease, Ged, Onboarding
Qualification
Diploma
Clinical Coordinator at DaVita
Ontario, CA 91762, USA - Full Time
Skills Needed
Computer Skills, Outlook
Qualification
Diploma
Sr Manager, Clinical Protocol Development at DaVita
Houston, TX 77092, USA - Full Time
Skills Needed
Powerpoint, Vendors, Interpersonal Skills, Documentation, Organization Skills, Presentations, Decision Making, Excel, Communication Skills, Leadership, Organizational Development, Accountability, Continuous Improvement, Project Management Skills
Specialization
Organizational development or nursing (and current licensure or related field or equivalent experience required
Qualification
Graduate
Senior Process Specialist, Patient Pathways at DaVita
Arlington, MA 02474, USA - Full Time
Skills Needed
Powerpoint, Patient Education, Hmo, Indemnity, Ppo, Epo, Pos, Medicare, Computer Skills, Outlook, Customer Service Skills, Discharge Planning, Background Checks
Qualification
Diploma
Experience Required
Minimum 2 year(s)
Patient Care Technician at DaVita
Murrieta, CA 92562, USA - Full Time
Skills Needed
Direct Patient Care, Nurses, Health Care Professionals, Color, End Stage Renal Disease, Flexible Schedule, Training, Pto, Elder Care, Leadership, Pet Insurance, It, Patient Care
Qualification
Diploma
Experience Required
Minimum 1 year(s)
Contract Talent Acquisition Partner at DaVita
Denver, CO 80202, USA - Full Time
Skills Needed
Excel, Outlook, Continuous Improvement, Powerpoint, Positive Work Environment, Applicant Tracking Systems, Diplomacy, Communication Skills, Accountability, Computer Skills, Vendors
Qualification
Diploma
Experience Required
Minimum 2 year(s)
Registered Nurse Patient Educator at DaVita
Royal Oak, MI 48073, USA - Full Time
Skills Needed
Computer Skills, Outlook
Qualification
Diploma
Dialysis Registered Nurse at DaVita
Newark, OH 43055, USA - Full Time
Skills Needed
It, Color
Qualification
Diploma
Experience Required
Minimum 1 year(s)
Special Projects Manager, Marketing & Communication at DaVita
Denver, CO 80202, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Coordinator, Learning Operations at DaVita
Denver, CO 80202, USA - Full Time
Skills Needed
Spreadsheets, Excel, Webex, Editing, Smartsheet, Powerpoint, Outlook, Communication Skills, Travel, Microsoft Office, Email
Qualification
Graduate
Senior Analyst, Data Management at DaVita
Federal Way, WA 98001, USA - Full Time
Skills Needed
Clinical Outcomes, Sql, Communication Skills, Statistics, Tableau, Alteryx, Data Migration, Power Bi, Management Skills, Stem, Revenue Cycle, Training, Computer Science, Reporting, Data Systems, Economics, Data Analytics
Specialization
Stem economics statistics computer science business
Qualification
Graduate
Experience Required
Minimum 3 year(s)
Director, Business Development and Value-Based Payor Partnerships at DaVita
Denver, CO 80202, USA - Full Time
Skills Needed
Travel, Healthcare Industry, Capitation, Payors, Writing
Qualification
MBA
ROPS Specialist I (Lab) at DaVita
DeLand, FL 32724, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Diploma
Experience Required
Minimum 2 year(s)
Content Developer, Ops Deployment at DaVita
United States, , USA - Full Time
Skills Needed
Design Skills, Canva, Graphic Design, Messaging, Content Design, Internal Communications, Communications, Adobe Creative Cloud
Specialization
Communications graphic design marketing or related field required
Qualification
Graduate
Experience Required
Minimum 5 year(s)
Sr Manager, Quality Assurance (IT) at DaVita
Brentwood, TN 37027, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
RN Case Manager- Daytona Beach, FL- Hybrid Remote at DaVita
Daytona Beach, FL 32114, USA - Full Time
Skills Needed
Kidney Transplant, Case Management, Computer Skills, Quality Patient Care, Excel, Training, Patient Outcomes, Chronic Care Management, Clinical Outcomes, Dialysis, Outlook, Integrated Care
Qualification
Graduate
Experience Required
Minimum 2 year(s)
Administrator, Payor Partnerships (Lab) at DaVita
DeLand, FL 32724, USA -
Full Time


Start Date

Immediate

Expiry Date

22 Nov, 25

Salary

0.0

Posted On

23 Aug, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Internet, Outlook, Regulations, Computer Skills, Cms, Contract Negotiation, Payer, Excel

Industry

Hospital/Health Care

Description

POSTING DATE

08/21/2025
3000 DaVita Way, Deland, Florida, 32724-2039, United States of America

The Administrator, Payer Partnerships (Lab) read, interpret and administer the terms of the contract portfolio that health insurance companies have in place with DaVita Labs and DaVita Kidney Care to ensure contractual terms are accurately reflected in the billing system. This position manages relationships with a wide variety of payors, within these relationships, this position is responsible for securing and maintaining in-network status through credentialing, contract negotiation and implementing payor contracts. This position performs surveillance of all federal and state laws and regulations pertaining to the reimbursement of clinical laboratory services to ensure compliant billing practices. This position reports to the Manager, Payor Partnerships (Lab)

  • Complete and monitor provider credentialing applications, negotiate payer contracts and single patient agreements on behalf of the lab.
  • Process payer correspondences and complete monitoring of rules and regulations from Governmental entities with the use of MediRegs and various sources
  • Read and interpret new, amended, renegotiated payer contracts and single patient agreements in preparation for system implementation
  • Coordinate with Lab Finance Systems and Lab Billing to setup payers in the billing system
  • Coordinates with Lab ROPS and DKC Payor Partnerships teammates as needed to resolve contract issues
  • Analyze fee schedule changes for loading into the system
  • Address and resolve interface deficiencies
  • Perform payer analytics and identify trends through root cause analysis including review of newly established contracts to ensure accuracy in billing and reimbursement
  • Provide recommendations and redlines to Payor Partnerships (DKC) for lab terms within proposed contracts
  • Coordinate with Payor Partnerships (DKC) to trouble shoot problematic payers, address contractual discrepancies, language impact, and perform necessary financial impact analytics
  • Add facilities and products to existing contracts and terminate from existing contracts

EDUCATION AND EXPERIENCE

Experience needed in the following:

  • Legal language
  • Contract Interpretation
  • Contract Negotiation
  • Credentialing
  • Knowledge of provider and payer relationship
  • Knowledge of Revenue Operations in Health Care
  • Knowledge of rules and regulations around Government entities such as CMS
  • Intermediate computer skills and proficiency in MS Word, Excel, Outlook, and ability to use Internet effectively required
Responsibilities
  • Complete and monitor provider credentialing applications, negotiate payer contracts and single patient agreements on behalf of the lab.
  • Process payer correspondences and complete monitoring of rules and regulations from Governmental entities with the use of MediRegs and various sources
  • Read and interpret new, amended, renegotiated payer contracts and single patient agreements in preparation for system implementation
  • Coordinate with Lab Finance Systems and Lab Billing to setup payers in the billing system
  • Coordinates with Lab ROPS and DKC Payor Partnerships teammates as needed to resolve contract issues
  • Analyze fee schedule changes for loading into the system
  • Address and resolve interface deficiencies
  • Perform payer analytics and identify trends through root cause analysis including review of newly established contracts to ensure accuracy in billing and reimbursement
  • Provide recommendations and redlines to Payor Partnerships (DKC) for lab terms within proposed contracts
  • Coordinate with Payor Partnerships (DKC) to trouble shoot problematic payers, address contractual discrepancies, language impact, and perform necessary financial impact analytics
  • Add facilities and products to existing contracts and terminate from existing contract
Administrator, Payor Partnerships (Lab) at DaVita
DeLand, FL 32724, USA - Full Time
Skills Needed
Internet, Outlook, Regulations, Computer Skills, Cms, Contract Negotiation, Payer, Excel
Qualification
Graduate
Care Coordinator / Medical Office Assistant - HYBRID - Omaha/Lincoln at DaVita
Falmouth, MA 02540, USA - Full Time
Skills Needed
Ged, Discretion, Communication Skills
Qualification
Diploma
Experience Required
Minimum 1 year(s)
Senior Staff Nurse- North Wandsworth at DaVita
Wandsworth, England, United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Assistant Facility Administrator at DaVita
Glendale, WI 53209, USA - Full Time
Skills Needed
Excel, Outlook, Computer Skills, Business Applications
Qualification
Diploma
Experience Required
Minimum 2 year(s)
Biomed Service Specialist – Field Technician at DaVita
Milford, CT 06460, USA - Full Time
Skills Needed
Hospitals, Outlook, Excel, Computer Skills, Tech Savvy, Ease, Ged, Onboarding
Qualification
Diploma
Clinical Coordinator at DaVita
Ontario, CA 91762, USA - Full Time
Skills Needed
Computer Skills, Outlook
Qualification
Diploma
Sr Manager, Clinical Protocol Development at DaVita
Houston, TX 77092, USA - Full Time
Skills Needed
Powerpoint, Vendors, Interpersonal Skills, Documentation, Organization Skills, Presentations, Decision Making, Excel, Communication Skills, Leadership, Organizational Development, Accountability, Continuous Improvement, Project Management Skills
Specialization
Organizational development or nursing (and current licensure or related field or equivalent experience required
Qualification
Graduate
Senior Process Specialist, Patient Pathways at DaVita
Arlington, MA 02474, USA - Full Time
Skills Needed
Powerpoint, Patient Education, Hmo, Indemnity, Ppo, Epo, Pos, Medicare, Computer Skills, Outlook, Customer Service Skills, Discharge Planning, Background Checks
Qualification
Diploma
Experience Required
Minimum 2 year(s)
Patient Care Technician at DaVita
Murrieta, CA 92562, USA - Full Time
Skills Needed
Direct Patient Care, Nurses, Health Care Professionals, Color, End Stage Renal Disease, Flexible Schedule, Training, Pto, Elder Care, Leadership, Pet Insurance, It, Patient Care
Qualification
Diploma
Experience Required
Minimum 1 year(s)
Contract Talent Acquisition Partner at DaVita
Denver, CO 80202, USA - Full Time
Skills Needed
Excel, Outlook, Continuous Improvement, Powerpoint, Positive Work Environment, Applicant Tracking Systems, Diplomacy, Communication Skills, Accountability, Computer Skills, Vendors
Qualification
Diploma
Experience Required
Minimum 2 year(s)
Registered Nurse Patient Educator at DaVita
Royal Oak, MI 48073, USA - Full Time
Skills Needed
Computer Skills, Outlook
Qualification
Diploma
Dialysis Registered Nurse at DaVita
Newark, OH 43055, USA - Full Time
Skills Needed
It, Color
Qualification
Diploma
Experience Required
Minimum 1 year(s)
Special Projects Manager, Marketing & Communication at DaVita
Denver, CO 80202, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Coordinator, Learning Operations at DaVita
Denver, CO 80202, USA - Full Time
Skills Needed
Spreadsheets, Excel, Webex, Editing, Smartsheet, Powerpoint, Outlook, Communication Skills, Travel, Microsoft Office, Email
Qualification
Graduate
Senior Analyst, Data Management at DaVita
Federal Way, WA 98001, USA - Full Time
Skills Needed
Clinical Outcomes, Sql, Communication Skills, Statistics, Tableau, Alteryx, Data Migration, Power Bi, Management Skills, Stem, Revenue Cycle, Training, Computer Science, Reporting, Data Systems, Economics, Data Analytics
Specialization
Stem economics statistics computer science business
Qualification
Graduate
Experience Required
Minimum 3 year(s)
Director, Business Development and Value-Based Payor Partnerships at DaVita
Denver, CO 80202, USA - Full Time
Skills Needed
Travel, Healthcare Industry, Capitation, Payors, Writing
Qualification
MBA
ROPS Specialist I (Lab) at DaVita
DeLand, FL 32724, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Diploma
Experience Required
Minimum 2 year(s)
Content Developer, Ops Deployment at DaVita
United States, , USA - Full Time
Skills Needed
Design Skills, Canva, Graphic Design, Messaging, Content Design, Internal Communications, Communications, Adobe Creative Cloud
Specialization
Communications graphic design marketing or related field required
Qualification
Graduate
Experience Required
Minimum 5 year(s)
Sr Manager, Quality Assurance (IT) at DaVita
Brentwood, TN 37027, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
RN Case Manager- Daytona Beach, FL- Hybrid Remote at DaVita
Daytona Beach, FL 32114, USA - Full Time
Skills Needed
Kidney Transplant, Case Management, Computer Skills, Quality Patient Care, Excel, Training, Patient Outcomes, Chronic Care Management, Clinical Outcomes, Dialysis, Outlook, Integrated Care
Qualification
Graduate
Experience Required
Minimum 2 year(s)
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