Specialist, Payor Partnerships at DaVita
Federal Way, WA 98001, USA -
Full Time


Start Date

Immediate

Expiry Date

04 Dec, 25

Salary

30.0

Posted On

04 Sep, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Computer Skills, Clinical Outcomes, Training, Access, Internet, Outlook, Communication Skills, Spelling

Industry

Hospital/Health Care

Description

MINIMUM QUALIFICATIONS

Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required.

  • High school diploma or equivalent required
  • Associate’s degree in related field strongly preferred
  • Strong verbal and written communication skills (excellent grammar, spelling, ability to effectively verbalize concepts).
  • Minimum of two (2) years’ healthcare claims administration, contracting, or payor experience required
  • Demonstrated knowledge of healthcare contracts preferred
  • Intermediate computer skills and proficiency in MS Excel, Outlook, Access required; ability to use Internet effectively required; basic familiarity with Oracle Financial System and an electronic billing system strongly preferred

Here is what you can expect when you join our Village:

  • A “community first, company second” culture based on Core Values that really matter.
  • Clinical outcomes consistently ranked above the national average.
  • Award-winning education and training across multiple career paths to help you reach your potential.
  • Performance-based rewards based on stellar individual and team contributions.
  • A comprehensive benefits package designed to enhance your health, your financial well-being and your future.
  • Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation.

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Join us as we pursue our vision “To Build the Greatest Healthcare Community the World has Ever Seen.”
Why wait? Explore a career with DaVita today.
Go to http://careers.davita.com to learn more or apply.

Responsibilities

ESSENTIAL DUTIES & RESPONSIBILITIES

The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all-inclusive.

  • Research and review contract language as needed:
  • Track portfolio performance
  • Provide language strength analyses as needed (e.g. BDP, ad-hoc projects)
  • Respond to inquiries on facility contracting from internal and external sources
  • Prepare and send official notices to payors per contractual requirements
  • Create facility lists to be included as exhibits in contracts or amendments using existing databases & queries
  • Maintain confidentiality of upcoming deals or negotiations when required
  • Understand contracting strategies to analyze payor/facility relationships
  • Participate in meetings with other departmental teams and committees as necessary to facilitate solutions on payor issues
  • Evaluate and report key performance metrics to department management
  • Provide recommendations to improve policies, procedures, and performance
  • Other duties and responsibilities as assigned:
  • Work overtime with little or no notice as needed
  • Attend team meetings, phone conferences and training as needed
  • Know, understand, and follow teammate guidelines, employment policies, and department or company procedures
  • Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position.

Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required.

  • High school diploma or equivalent required
  • Associate’s degree in related field strongly preferred
  • Strong verbal and written communication skills (excellent grammar, spelling, ability to effectively verbalize concepts).
  • Minimum of two (2) years’ healthcare claims administration, contracting, or payor experience required
  • Demonstrated knowledge of healthcare contracts preferred
  • Intermediate computer skills and proficiency in MS Excel, Outlook, Access required; ability to use Internet effectively required; basic familiarity with Oracle Financial System and an electronic billing system strongly preferre
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